巨大腹壁切口疝的无张力修补治疗

Tension-free surgical repair of large abdominal incisional hernia

目的总结临床治疗巨大腹壁切口疝的经验和方法。方法回顾性分析21例巨大腹壁切口疝病人的年龄、手术方法、引流放置、抗生素应用及预后。结果发生巨大腹壁切口疝平均年龄64岁;均采用人工合成材料进行修补;术后放置引流,并使用预防性抗生素。治愈20例,复发1例。结论常见于老年病人腹部手术后的巨大腹壁切口疝,可使用人工合成材料进行修补,并获得良好疗效。

[Objective] To review the clinical experience in treating large abdominal incisional hernias. [Methotis] Twenty-one cases of large abdominal incisional hernia were analyzed in respect to the age, method of repair, postoperative drainage, use of prophylactic antibioties and prognosis. [Results] The average age of the patients was 64. All the patients were treated by repair with a bard mesh. Postoperative drainage and prophylactic antibiotics were used in every case. Twenty patients were cured and 1 had revurrence. [Conclusions] In large abdominal incisional hernia, especially in the elderly, surgical repair by mesh could offer a good chance of cure.