联合脐疝修补的腹壁整形术

Umbilical hernia repair in conjunction with abdominoplasty

目的探讨脐疝修补术与腹壁整形同期进行的可行性及临床优势。方法术前按腹壁整形术的原则设计切口，沿此切口将腹壁皮肤及皮下脂肪向肋弓游离，显露腹直肌前鞘，显露并切除脐疝疝囊，利用聚丙烯网片无张力修补疝口，收紧腹壁皮肤，切除多余皮肤及皮下脂肪。结果2008年5月至2011年5月共10例患者经过治疗后脐疝修补确切，腹壁松弛矫正满意，无脐疝复发、皮下血肿、血清肿、脂肪液化等并发症发生。结论经过合理选择适应证腹壁整形和脐疝修补术同期进行可以取得治疗脐疝和改善形体的双重效果。

Objective To investigate the feasibility and clinical benefits of umbilical hernia repair in conjunction with abdominoplasty. Methods The incision was designed in accord with abdominoplasty. The skin and subcutaneous tissue was dissected toward the costal arch, and then the anterior sheath of rectus abdominus was exposed. After exposure and dissection of the sac of umbilical hernia, tension-free hernioplasty was performed with polypropylene mesh. After dissecting the redundant skin and subcutaneous tissue, the abdominal wall was tightened. Results Between May 2008 and May 2011, ten patients were treated in the way mentioned above. The repair of umbilical hernia and the correction of abdominal wall laxity were satisfactory. There was no recurrence of umbilical hernia, hematoma, seroma or fat liquefaction. Conclusion Through careful selection of patients, repair of umbilical hernia and body contouring could be achieved simultaneously.