部分可吸收补片无张力修补术治疗腹壁切口疝30例临床观察

Partially absorbable mesh tension-free repair in treatment of abdominal incisional hernia: 30 cases of clinical observation

目的探讨部分可吸收补片应用肌前修补（Onlay）法治疗腹壁切口疝的效果。方法回顾分析2013年5月至2014年5月,解放军二六四医院采用部分可吸收补片应用Onlay法行无张力疝修补术治疗腹壁切口疝30例患者临床资料,观察手术时间、切口疼痛、术后肠功能恢复时间、住院时间、并发症及复发率。结果手术均获得成功,平均手术时间70 min,切口疼痛2~3 d,术后1~2 d肠功能恢复,2例术后出现皮下积液,无切口感染发生,随访6个月无复发。结论部分可吸收补片应用Onlay法行无张力疝修补术是治疗腹壁切口疝较好的方式,其操作简便、安全,疼痛轻,并发症少,复发率低,近期疗效满意,是治疗腹壁切口疝可靠的方法。

Objective To evaluate the Onlay tension-free repair with partially absorbable mesh in treatment of abdominal incisional hernia. Methods A retrospective analysis was conducted on 30 patients with incisional hernia who underwent Onlay tension-free repair with partially absorbable mesh in The 264th Hospital of People＇s Liberation Army from May 2013 to May 2014. The operation time, incisional pain, postoperative intestinal function recovery time, length of stay, complication and recurrence rates were observed. Results All operations were successfully completed with a mean operative time of 70 minutes. Incisional pain were observed in 2 to 3 days after operations, and the bowel function were recovered in 1 to 2 days. 2 cases of subcutaneous seroma occurred. No wound infection and no recurrence in the follow-up period （6 months） were found. Conclusion Onlay tension-free repair with partially absorbable mesh is a remarkable procedure for abdominal incisional hernia, which is easy to perform, safe and effective with less pain, low recurrence and satisfactory outcome.