Sublay法无张力修补术治疗腹壁切口疝(附21例报告)

Sublay tension-free herniorrhaphy with prosthetic mesh for incisional hernia(a report of 21 cases).

目的探讨Sublay法腹壁切口疝无张力修补术的手术方法和疗效。方法回顾性总结和分析2003年至2009年我院Sublay法无张力修补术治疗21例腹壁切口疝的临床资料。结果21例患者均痊愈出院,无严重并发症出现,无死亡病例。21例患者均获随访,随访时间5～60个月,平均23个月。5例(24%)有术后慢性疼痛,3例(14%)有腹壁异物感,1例(5%)术后22个月后复发,其余患者随访至今未出现复发,但有3例(14%)出现手术修补区域的局部膨出。结论Sublay法腹壁切口疝无张力修补术对腹腔内脏器影响小,术后恢复快,复发率低,是最为牢固的修补方法之一。

Objective To discuss the surgical technique and efficacy of Sublay tension - free herniorrhaphy for incisional hernias. Methods Analysis the clinical data including 21 cases of abdominal wall incisional hernia, treated by the Sublay tension - free herniorrhaphy during the last 6 years retrospectively. Results All patients were cured without severe complications and there were no death cases. The follow - up duration ranged from 5 to 60 months. The most common complications were postoprative chronic pain （24 % ）, feeling of foreign body（14 % ）, hernia recurrence （5 % ）, and local swell in the area of hernia repair （ 14 % ）. Conclusions Sublay tension - free hernia repair could be one of the most safe and effective procedure for incisional hernia, with the advantages of better recovery, lower recurrence rate and less effect of abdominal visceras.