Repair of massive and complex incisional hernia or defect of abdominal wall by using prosthetic mesh (Report of 112 cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SUN Junpeng , FEI Yang , WANG Shibin ,  LI Jiye

Department of General Surgery, The First Affiliated Hospital of General Hospital of Chinese PLA, Beijing 100048, P.R.China;

Corresponding author：

LI Jiye, Email: jiye304@yahoo.com.cn

Keywords：

abdominal wall; massive incisional hernia; mesh; repair

DOI：

10.7507/1007-9424.201610080

Video：

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Objective To evaluate effect of massive and complex incisional hernia or defect of abdominal wall by using prosthetic mesh. Method The clinical data of 112 patients with massive and complex incisional hernia or defect of abdominal wall from February 2003 to February 2016 were analyzed retrospectively. Results Sixty-three cases were repaired by placing artificial mesh between the peritoneum and the musculus rectus abdominis and 49 cases by opening intraperitoneal mesh placement. The primary healing occurred in 108 cases, the incision infection occured in 4 cases, the seroma occurred in 7 cases. The stretched feeling was found in 39 cases and the mild pain occurred in 17 cases in the operative area at early term after operation. One hundred and two patients were followed up for 9–156 months (mean 78.6 months), the recurrence was observed in 3 cases (2.94%). Conclusion Repair of massive and complex incisional hernia or defect of abdominal wall by using prosthetic mesh has some advantages of minimal invasiveness, rapid convalescence, and low recurrent rate.

Citation： SUN Junpeng, FEI Yang, WANG Shibin, LI Jiye. Repair of massive and complex incisional hernia or defect of abdominal wall by using prosthetic mesh (Report of 112 cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(5): 611-614. doi: 10.7507/1007-9424.201610080 Copy

1.	费阳, 李基业. 腹腔镜下修补 70 岁以上患者腹壁切口疝 (附 8 例报道).中国普外基础与临床杂志, 2010, 17(3): 263-266.
2.	杨玉辉, 雷跃华, 杨华, 等. 开放式腹壁大切口疝和巨大切口疝补片修补术. 中国普外基础与临床杂志, 2011, 18(8): 890-891.
3.	张贤坤, 刘宏斌, 韩晓鹏, 等. 腹壁复发切口疝的微创治疗体会. 中国普外基础与临床杂志, 2015, 22(8): 998-1000.
4.	陈杰. 实用外科手术技巧. 北京: 科学技术出版社, 2008: 150.
5.	中华医学会外科学分会疝和腹壁外科学组. 腹部手术切口疝手术治疗方案(草案). 中华普通外科杂志, 2004, 19(2): 125.
6.	马宏光. 切口疝的发生率和复发率的问题. 中华疝和腹壁外科杂志(电子版), 2009, 3(4): 366-368.
7.	Heniford BT, Park A, Ramshaw BJ,et al. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg, 2000, 190(6): 645-650.
8.	Burger JW, Luijendijk RW, Hop WC,et al. Long-term follow-up of a randomized controlled trial of sutureversus mesh repair of incisional hernia. Ann Surg, 2004, 240(4): 578-585.
9.	史新河, 王浩洁. 腹壁切口疝病因的多因素分析. 中华疝和腹壁外科杂志(电子版), 2010, 4(3): 281-286.
10.	Birolini C, Utiyama EM, Rodrigues AJ Jr,et al. Elective colonic operation and prosthetic repair of incisional hernia: does contamination contraindicate abdominal wall prosthesis use? J Am Coll Surg, 2000, 191(4): 366-372.
11.	Bleichrodt RP, Simmermacher RK, van der Lei B,et al. Expanded polytetrafluoroethylene patchversus polypropylene mesh for the repair of contaminated defects of the abdominal wall. Surg Gynecol Obstet, 1993, 176(1): 18-24.
12.	LeBlanc KA. The critical technical aspects of laparoscopic repair of ventral and incisional hernias. Am Surg, 2001, 67(8): 809-812.
13.	李基业, 邓群, 张鑫奎, 等. 非吸收性生物材料修补伴创面污染的腹壁切口疝和缺损. 外科理论与实践, 2002, 7(6): 426-427.
14.	李基业, 姚胜, 王大东. 自膨式补片修补腹壁疝十例分析. 中华普通外科杂志, 2005, 20(5): 283-284.
15.	Machairas A, Misiakos EP, Liakakos T,et al. Incisional hernioplasty with extraperitoneal onlay polyester mesh. Am Surg, 2004, 70(8): 726-729.
16.	Vidović D, Jurisić D, Franjić BD,et al. Factors affecting recurrence after incisional hernia repair. Hernia, 2006, 10(4): 322-325.
17.	de Vries Reilingh TS, van Geldere D, Langenhorst B,et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia, 2004, 8(1): 56-59.
18.	Israelsson LA, Smedberg S, Montgomery A,et al. Incisional hernia repair in Sweden 2002. Hernia, 2006, 10(3): 258-261.
19.	王京立, 徐建敏, 华玉明, 等. 腹腔镜辅助防粘连补片修补腹壁巨大切口疝 (附 11 例报告). 中华疝和腹壁外科杂志, 2013, 7(1): 64-66.

1. 费阳, 李基业. 腹腔镜下修补 70 岁以上患者腹壁切口疝 (附 8 例报道).中国普外基础与临床杂志, 2010, 17(3): 263-266.
2. 杨玉辉, 雷跃华, 杨华, 等. 开放式腹壁大切口疝和巨大切口疝补片修补术. 中国普外基础与临床杂志, 2011, 18(8): 890-891.
3. 张贤坤, 刘宏斌, 韩晓鹏, 等. 腹壁复发切口疝的微创治疗体会. 中国普外基础与临床杂志, 2015, 22(8): 998-1000.
4. 陈杰. 实用外科手术技巧. 北京: 科学技术出版社, 2008: 150.
5. 中华医学会外科学分会疝和腹壁外科学组. 腹部手术切口疝手术治疗方案(草案). 中华普通外科杂志, 2004, 19(2): 125.
6. 马宏光. 切口疝的发生率和复发率的问题. 中华疝和腹壁外科杂志(电子版), 2009, 3(4): 366-368.
7. Heniford BT, Park A, Ramshaw BJ,et al. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg, 2000, 190(6): 645-650.
8. Burger JW, Luijendijk RW, Hop WC,et al. Long-term follow-up of a randomized controlled trial of sutureversus mesh repair of incisional hernia. Ann Surg, 2004, 240(4): 578-585.
9. 史新河, 王浩洁. 腹壁切口疝病因的多因素分析. 中华疝和腹壁外科杂志(电子版), 2010, 4(3): 281-286.
10. Birolini C, Utiyama EM, Rodrigues AJ Jr,et al. Elective colonic operation and prosthetic repair of incisional hernia: does contamination contraindicate abdominal wall prosthesis use? J Am Coll Surg, 2000, 191(4): 366-372.
11. Bleichrodt RP, Simmermacher RK, van der Lei B,et al. Expanded polytetrafluoroethylene patchversus polypropylene mesh for the repair of contaminated defects of the abdominal wall. Surg Gynecol Obstet, 1993, 176(1): 18-24.
12. LeBlanc KA. The critical technical aspects of laparoscopic repair of ventral and incisional hernias. Am Surg, 2001, 67(8): 809-812.
13. 李基业, 邓群, 张鑫奎, 等. 非吸收性生物材料修补伴创面污染的腹壁切口疝和缺损. 外科理论与实践, 2002, 7(6): 426-427.
14. 李基业, 姚胜, 王大东. 自膨式补片修补腹壁疝十例分析. 中华普通外科杂志, 2005, 20(5): 283-284.
15. Machairas A, Misiakos EP, Liakakos T,et al. Incisional hernioplasty with extraperitoneal onlay polyester mesh. Am Surg, 2004, 70(8): 726-729.
16. Vidović D, Jurisić D, Franjić BD,et al. Factors affecting recurrence after incisional hernia repair. Hernia, 2006, 10(4): 322-325.
17. de Vries Reilingh TS, van Geldere D, Langenhorst B,et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia, 2004, 8(1): 56-59.
18. Israelsson LA, Smedberg S, Montgomery A,et al. Incisional hernia repair in Sweden 2002. Hernia, 2006, 10(3): 258-261.
19. 王京立, 徐建敏, 华玉明, 等. 腹腔镜辅助防粘连补片修补腹壁巨大切口疝 (附 11 例报告). 中华疝和腹壁外科杂志, 2013, 7(1): 64-66.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Repair of massive and complex incisional hernia or defect of abdominal wall by using prosthetic mesh (Report of 112 cases)

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