腹膜前生物补片修复髂腹股沟区肿瘤切除术后组织缺损的临床疗效

Preperitoneal repair of tissue defect with biological mesh after ilioinguinal region tumor resection

目的:探讨应用生物补片于腹膜前修复髂腹股沟区肿瘤切除术后组织缺损的可行性和安全性。方法:回顾性分析2016年1月至2018年10月复旦大学附属公共卫生临床中心普通外科收治的11例应用生物补片于腹膜前修复髂腹股沟区肿瘤切除术后组织缺损患者的临床资料。结果:伤口均Ⅰ期愈合,术后住院时间7~21d(中位13d)。术后随访1~35个月,无切口疝形成及腹壁膨出。10例术后切口慢性疼痛,2~4周缓解。1例肿瘤复发。结论:采用生物补片于腹膜前修复髂腹股沟区肿瘤切除术后组织缺损安全可行,近期临床效果较理想,远期效果有待进一步随访。

Objective: To investigate the feasibility and safety of preperitoneal repair of tissue defect with biological mesh after tumor resection in the iliac fossa and groin regions. Methods: The clinical data of 11 patients who were diagnosed as ilioinguinal tumor in Shanghai Public Health Clinical Center from January 2016 to October 2018 were retrospective analyzed. Results: Wounds in all cases healed in the stageⅠ, with a postoperative hospital stay time of 7-21 days (median of 13 days). During the follow-up time of 1-35 months after surgery, there was no incisional hernia or abdominal wall bulge. Ten patients had mild pain of the mesh fixed position, while the symptom disappeared in 2-4 weeks after operation. One patient had tumor recurrence. Conclusions: Preperitoneal repair of tissue defect with biological mesh may be safe and feasible after ilioinguinal tumor resection, and the short-term clinical efficacy is satisfactory, while the long-term results need further follow-up.