Curative effect analysis of three mesh positions for treatment of ventral hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CHEN Yake ¹ , CHEN Jianmin ¹ , WANG Dianchen ¹ , ZHANG Yi ¹ , QU Pan ¹ , TANG Jianxiong ²

1. Department of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, R. P. China;
2. Department of General Surgery, Donghua Hospital Affiliated to Fudan University, Shanghai 200040, R. P. China;

Corresponding author：

CHEN Yake, Email: chenyake2007@126.com

Keywords：

ventral hernia; pain; herniorrhaphy; hernia recurrence

DOI：

10.7507/1007-9424.202004055

Video：

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Objective To study the clinical efficacy of three mesh positions for treatment of ventral hernia.Methods The data of 87 patients undergoing abdominal incision hernia repair from January 2015 to January 2017 in the First Affiliated Hospital of Zhengzhou University were analyzed respectively. They were divided into three groups according to the different mesh position, Onlay treatment (n=28), Inlay treatment (n=27) and Sublay treatment (n=32). The curative effect and complications of three different surgical methods were compared and analyzed.Results All the patients were recovered and discharged. A total of 6 cases among 87 patients had incision fat liquefaction, 1 patient had superficial infection and 2 patients had postoperative incision hematoma. After 3 to 36 months of follow-up (average 8 months), 3 cases of 87 patients recurred.Conclusions Three kinds of surgeries for ventral hernia are feasibility and value, Sublay treatment is not only less pain and complications but more effective. We should strengthen the screening of preoperative cases and selecting appropriate surgical methods to prevent and reduce the recurrence of hernia.

Citation： CHEN Yake, CHEN Jianmin, WANG Dianchen, ZHANG Yi, QU Pan, TANG Jianxiong. Curative effect analysis of three mesh positions for treatment of ventral hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(1): 38-42. doi: 10.7507/1007-9424.202004055 Copy

1.	石玉龙, 郭晓波. 腹壁切口疝的诊疗程序. 临床外科杂志, 2013, 21(6): 475-477.
2.	龚方友, 王昆华. 腹壁切口疝外科治疗现状及进展. 中华疝和腹壁外科杂志 (电子版), 2012, 6(4): 914-916.
3.	中华医学会外科学分会疝和腹壁外科学组. 腹壁切口疝诊疗指南 (2018 年版). 中国实用外科杂志, 2018, 38(7): 701-703.
4.	Bell R, Ward D, Jeffery J, et al. A randomized controlled trial comparing epidural analgesia versus continuous local anesthetic infiltration via abdominal wound catheter in open liver resection. Ann Surg, 2019, 269(3): 413-419.
5.	李基业, 马颂章. 腹壁切口疝手术治疗方案 (草案). 腹部外科, 2012, 17(1): 64-65.
6.	Lomanto D, Cheah WK, Faylona JM, et al. Inguinal hemia repair: toward Asian guidelines. Asian J Endosc Surg, 2015, 8(1): 16-23.
7.	杨媛媛, 黄鹤光, 陈燕昌, 等. 腹壁切口疝修补术后并发症 70 例分析. 中国实用外科杂志, 2013, 33(3): 218-220.
8.	Erdas E, Medas F, Cordini L, et al. Tailored anterior tension-free repair for the treatment of recurrent inguinal hernia previously repaired by anterior approach. Hernia, 2016, 20(3): 393-398.
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12.	张贤坤, 刘宏斌, 韩晓鹏, 等. 腹壁复发切口疝的治疗体会. 中国普外基础与临床杂志, 2015, 22(8): 998-1000.
13.	Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg, 1989, 13(5): 545-554.
14.	周力, 王晓辉, 李小军, 等. 切口疝无张力修补术后复发的多因素分析. 中国普外基础与临床杂志, 2015, 22(8): 972-976.
15.	中华医学会外科学分会疝与腹壁外科学组, 中国医疗保健国际交流促进会临床实用技术分会腹壁修复与重建外科学组. 腹壁缺损修复与重建中国专家共识. 中国实用外科杂志, 2019, 39(2): 101-109.
16.	Guérin G, Turquier F. Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach. Hernia, 2013, 17(5): 647-655.
17.	Shell DH 4th, de la Torre J, Andrades P, et al. Open repair of ventral hemia incisions. Surg Clin North Am, 2008, 88(1): 61-83.
18.	Staikes N, Quasebarth M, Brunt LM. Hybrid ventral hernia repair: techniques and results. Hernia, 2013, 17(5): 627-632.
19.	吕志强, 戴玮, 沈根海, 等. 应用 UHS 行无张力疝修补的体会. 中国普外基础与临床杂志, 2014, 21(10): 1292-1294.
20.	高峰, 李荣江, 张晶锐, 等. 腹腔镜完全腹膜外腹股沟疝修补术 3D 补片免固定技术的临床应用体会. 中国普外基础与临床杂志, 2015, 22(3): 346-347.
21.	Mitura K, Skolimowska-Rzewuska M, Garnysz K. Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias. Surg Endosc, 2017, 31(1): 382-388.
22.	陈杰. 重视腹外疝修补术后并发症的防治. 中国普外基础与临床杂志, 2013, 20(10): 1173-1175.
23.	牟一平, 方素华, 徐晓武, 等. 改良式腹腔镜腹壁切口病修补术六例体会. 中华普通外科杂志, 2005, 20(9): 597.
24.	李基业. 切口疝合成补片修补后复发疝的再修补. 中国普外基础与临床杂志, 2013, 20(12): 1333-1336.

1. 石玉龙, 郭晓波. 腹壁切口疝的诊疗程序. 临床外科杂志, 2013, 21(6): 475-477.
2. 龚方友, 王昆华. 腹壁切口疝外科治疗现状及进展. 中华疝和腹壁外科杂志 (电子版), 2012, 6(4): 914-916.
3. 中华医学会外科学分会疝和腹壁外科学组. 腹壁切口疝诊疗指南 (2018 年版). 中国实用外科杂志, 2018, 38(7): 701-703.
4. Bell R, Ward D, Jeffery J, et al. A randomized controlled trial comparing epidural analgesia versus continuous local anesthetic infiltration via abdominal wound catheter in open liver resection. Ann Surg, 2019, 269(3): 413-419.
5. 李基业, 马颂章. 腹壁切口疝手术治疗方案 (草案). 腹部外科, 2012, 17(1): 64-65.
6. Lomanto D, Cheah WK, Faylona JM, et al. Inguinal hemia repair: toward Asian guidelines. Asian J Endosc Surg, 2015, 8(1): 16-23.
7. 杨媛媛, 黄鹤光, 陈燕昌, 等. 腹壁切口疝修补术后并发症 70 例分析. 中国实用外科杂志, 2013, 33(3): 218-220.
8. Erdas E, Medas F, Cordini L, et al. Tailored anterior tension-free repair for the treatment of recurrent inguinal hernia previously repaired by anterior approach. Hernia, 2016, 20(3): 393-398.
9. Romanowska M, Okniński T, Pawlak J, et al. Hybrid technique for postoperative ventral hernias-own experience. Wideochir Inne Tech Maloinwazyjne, 2016, 10(4): 534-540.
10. Giordano S, Schaverien M, Garvey PB, et al. Advanced age does not affect abdominal wall reconstruction outcomes using acellular dermal matrix: A comparative study using propensity score analysis. Am J Surg, 2017, 213(6): 1046-1052.
11. Utkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am, 2003, 83(5): 1045-1051.
12. 张贤坤, 刘宏斌, 韩晓鹏, 等. 腹壁复发切口疝的治疗体会. 中国普外基础与临床杂志, 2015, 22(8): 998-1000.
13. Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg, 1989, 13(5): 545-554.
14. 周力, 王晓辉, 李小军, 等. 切口疝无张力修补术后复发的多因素分析. 中国普外基础与临床杂志, 2015, 22(8): 972-976.
15. 中华医学会外科学分会疝与腹壁外科学组, 中国医疗保健国际交流促进会临床实用技术分会腹壁修复与重建外科学组. 腹壁缺损修复与重建中国专家共识. 中国实用外科杂志, 2019, 39(2): 101-109.
16. Guérin G, Turquier F. Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach. Hernia, 2013, 17(5): 647-655.
17. Shell DH 4th, de la Torre J, Andrades P, et al. Open repair of ventral hemia incisions. Surg Clin North Am, 2008, 88(1): 61-83.
18. Staikes N, Quasebarth M, Brunt LM. Hybrid ventral hernia repair: techniques and results. Hernia, 2013, 17(5): 627-632.
19. 吕志强, 戴玮, 沈根海, 等. 应用 UHS 行无张力疝修补的体会. 中国普外基础与临床杂志, 2014, 21(10): 1292-1294.
20. 高峰, 李荣江, 张晶锐, 等. 腹腔镜完全腹膜外腹股沟疝修补术 3D 补片免固定技术的临床应用体会. 中国普外基础与临床杂志, 2015, 22(3): 346-347.
21. Mitura K, Skolimowska-Rzewuska M, Garnysz K. Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias. Surg Endosc, 2017, 31(1): 382-388.
22. 陈杰. 重视腹外疝修补术后并发症的防治. 中国普外基础与临床杂志, 2013, 20(10): 1173-1175.
23. 牟一平, 方素华, 徐晓武, 等. 改良式腹腔镜腹壁切口病修补术六例体会. 中华普通外科杂志, 2005, 20(9): 597.
24. 李基业. 切口疝合成补片修补后复发疝的再修补. 中国普外基础与临床杂志, 2013, 20(12): 1333-1336.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Curative effect analysis of three mesh positions for treatment of ventral hernia

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