Operative treatment of ventral hernia using prosthetic materials

被引：16

作者：

Han J.G. ^{[1
]}

Ma S.Z. ^{[1
]}

Song J.K. ^{[1
]}

Wang Z.J. ^{[1
]}

机构：

[1] Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Chaoyang District, Beijing 100020

来源：

Hernia | 2007年 / 11卷 / 5期

关键词：

Hernia repair; Incisional hernia; Prosthetic mesh; Recurrence; Ventral hernia;

D O I：

10.1007/s10029-007-0248-x

中图分类号：

学科分类号：

摘要：

Objective: The objective of this study was to summarize the clinical experiences in repairing abdominal incisional hernia with prosthetic materials. Methods: Eighty-three patients with ventral hernia were analyzed retrospectively. Results: Two patients developed pulmonary infection, one developed adhesive ileus, and five developed wound infection. All wounds healed completely during follow-up. Seventy-three (88%) patients were free of pain, and ten patients (12%) felt pain in the operated area within the last month; only one patient required pain-relieving drugs. Twenty-nine patients (35%) felt discomfort, such as stiffness. Four cases experienced postoperative recurrence. Conclusions: Incisional herniorrhaphy with prosthetic materials is safe and effective but has a high discomfort rate. Open giant incisional hernia or recurrent incisional hernia should be performed by trained surgeons. Placing mesh in a suitable position and using a patch with minimal reaction and enough tensile strength may improve the prognosis. Further studies are necessary utilizing light polypropylene mesh. © Springer-Verlag 2007.

引用

页码：419 / 423

页数：4

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