疝区腹膜折叠法修复巨大腹壁疝

The method of repeated doubling peritoneum to repair the huge abdominal wall hernia

目的 提出一种修复数次术后复发的巨大腹壁疝的有效方法。方法 利用巨大腹壁疝其丰富的囊壁组织即腹膜,切开后提起,在缺损区双侧自基底部反复折叠逢合,形成一5～7层的条索状腹膜组织,以加固缺损区。结果 所形成的条索状的腹膜组织具有生物活性且坚韧性强,经对10例反复术后复发的巨大腹壁疝病人的修复后随访,无一例复发。结论 此法原位取材、简便牢靠,既避免了使用阔筋膜游离移植存在的异位创伤、供区有限、并发肌疝等问题;又避免了单纯使用合成材料所面临的排斥反应,感染松脱的问题,是目前较为理想的一种疝修复方法。

Objective The article raise a effective method to repair the huge abdominal wall hernia of several times post-operative recurrence. Methods The patients who are huge abdominal wall hernia have sufficient her-nial wall, namely, peritoneum, which can be used. the peritoneum was incised, raised and repeated doubling suture at the bilateral hernial space so that it formed a 5-7 layers thick and cord-like peritoneal tissue to intensify the lesion area. Results 10 patients of huge abdominal wall hernia of have been repaired by this method. Follow-up observation for 1 to 10 years, found no recurrence. Conclusions The method is simple and effective. It avoid not only trauma in other position and complication of muscular hernia by using the free fascia latea transplant but aslo rejection episode, inflammation and loose by only using the synthetic meterial. We consider it as an optimal means for repairing the huge peritoneal hernia at the present.