腹壁切口疝修补术的术后复发分析

Analysis of recurrence after abdominal incisional hernia repair

目的:总结腹壁切口疝修补术的术后复发情况。方法:回顾分析2013～2017年收治的61例腹壁切口疝患者的临床资料。结果:61例腹壁切口疝修补术中,35例(57.4%)行完全腹腔镜手术,24例(39.3%)行腹腔镜联合开腹(杂交技术)手术,2例行开放修补术(3.3%);其中33例属于复杂切口疝;术后随访(14.0±3.2)个月,6例(9.8%)复发,其中术后6个月复发1例(16.7%)、12个月复发1例(16.7%)、24个月以后复发4例(66.7%)。结论:腹部复杂切口疝围手术期应重视术后复发的高危因素,有助于降低术后远期复发率。

Objective:To summarize the recurrence after abdominal wall incisional herniorrhaphy.Methods:Retrospective analysis was made on the clinical data of 61 patients who suffered from abdominal wall incisional hernia and were treated from 2013 to 2017.Results:The 61 cases of abdominal wall incisional hernia repair included 35 cases of complete laparoscopic surgery(57.4%),24 cases of laparoscopy combined with open(hybrid technique)surgery(39.3%)and 2 cases of open repair(3.3%).There were 33 cases of complex incisional hernia.In the postoperative follow-up of(14.0±3.2)months,6 cases recurred(9.8%)including 1 case(16.7%)in the postoperative 6th month,1 case(16.7%)in the postoperative 12th month and 4 cases(66.7%)after more than 24 months.Conclusions:In the perioperative period of abdominal incisional hernia,surgeons should pay attention to the high risk factors of postoperative recurrence,which is helpful to reduce the long-term recurrence rate.