Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty

被引:37
作者
Toniato, A [1 ]
Pagetta, C [1 ]
Bernante, P [1 ]
Piotto, A [1 ]
Pelizzo, MR [1 ]
机构
[1] Univ Padua, Dept Med & Surg Sci, Clin Gen Surg 3, I-35128 Padua, Italy
关键词
incisional hernia; pneumoperitoneum; mesh repair;
D O I
10.1007/s00423-002-0316-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background and aim: Major incisional hernias of the abdominal wall often pose a serious surgical problem. The choice between simple suture repair and mesh repair remains uncertain. Methods: Seventy-seven patients underwent surgery to repair large abdominal incisional hernias, i.e., with parietal defects of 10 cm or more, by retromuscular prosthetic hernioplasty between 1996 and 1999. All patients were treated preoperatively by progressive pneumoperitoneum and were followed up for 2-5 years (mean 38.3 months). Results: Almost all patients tolerated the pneumoperitoneum; no postoperative death occurred. Six patients developed a subcutaneous infection but none of them required removal of the mesh. Two patients (2.6%) had recurrent incisional hernia. Conclusions: This study shows that pneumoperitoneum is useful in preparing patients for incisional hernioplasty. Retromuscular mesh repair represents an appropriate surgical procedure, particularly in view of its low rate of recurrence.
引用
收藏
页码:246 / 248
页数:3
相关论文
共 21 条
[1]  
[Anonymous], 1998, HERNIA, DOI DOI 10.1007/BF01207484
[2]   Factors affecting recurrence following incisional herniorrhaphy [J].
Anthony, T ;
Bergen, PC ;
Kim, LT ;
Henderson, M ;
Fahey, T ;
Rege, RV ;
Turnage, RH .
WORLD JOURNAL OF SURGERY, 2000, 24 (01) :95-101
[3]   Surgical treatment of postoperative incisional hernias by intraperitoneal insertion of dacron mesh and an aponeurotic graft - A report on 250 cases [J].
Arnaud, JP ;
Tuech, JJ ;
Pessaux, P ;
Hadchity, Y .
ARCHIVES OF SURGERY, 1999, 134 (11) :1260-1262
[4]   PROGRESSIVE PNEUMOPERITONEUM IN THE MANAGEMENT OF GIANT INCISIONAL HERNIAS - A STUDY OF 41 PATIENTS [J].
CALDIRONI, MW ;
ROMANO, M ;
BOZZA, F ;
PLUCHINOTTA, AM ;
PELIZZO, MR ;
TONIATO, A ;
RANZATO, R .
BRITISH JOURNAL OF SURGERY, 1990, 77 (03) :306-307
[5]  
CHAMPETIER J, 1978, J CHIR-PARIS, V115, P585
[6]  
DEFTEL M, 1979, AM J SURG, V137, P276
[7]  
FLAMENT JB, 1998, MAJOR INCISIONAL HER, P128
[8]  
Israelsson LA, 1996, EUR J SURG, V162, P125
[9]   Incisional hernias in patients with aortic aneurysmal disease: the importance of suture technique [J].
Israelsson, LA .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 1999, 17 (02) :133-135