摘要
目的 总结应用改良的Stoppa技术修补腹壁巨大切口疝和缺损的经验。 方法 3 1例腹壁巨大切口疝 ,腹壁缺损平均直径 14 .7cm。将聚丙烯网片或复合补片置入腹肌后筋膜前间隙修补 ,但对缺损边缘不强行拉拢缝合。结果 术后无一例发生皮下积液及切口感染。 3 0例患者获得随访 ,随访时间 2～ 3 6个月 ,平均 2 5个月 ,无一例复发。
Objective To review our experince in repair of giant incisional hernias and defects of the abdominal wall with a modified Stoppa technique.Methods Thirty-one patients with giant incisional hernias were subjected to modified Stoppa operation,i.e.retromuscular insertion of polypropylene mesh or Composix mesh without tension closure of defects of the abdominal wall.Results No subcutaneous seroma and wound infection occurred postoperatively.There have been no recurrences during a follow-up of 2 to 36 months (mean 25 months) in 30 patients.Conclusion The modified Stoppa technique is a safe and rational procedure for tension free repair of giant incisional heanias and defects of the abdominal wall.
出处
《临床外科杂志》
2004年第3期154-155,共2页
Journal of Clinical Surgery
关键词
切口疝
改良Stoppa技术
网片
incisional heania
modified Stoppa technique
mesh patch
