Abdominal Wall Bulge Repair with Intraperitoneal Compound Mesh in 7 Patients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

FEI Yang , LI Jiye.

Department of General Surgery, The First Affiliated Hospital of PLA General Hospital, Beijing 100037, China;

Corresponding author：

Keywords：

Intraperitoneal onlay mesh; Abdominal wall bulge; Compound patch

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Objective To summarize the therapeutic experiences of abdominal wall bulge repair with compound patch intraperitoneal placement.
Methods From October 2005 to October 2008, intraperitoneal onlay mesh with compound patch applied in 7 patients with abdominal wall bulge, whose clinical data were analyzed retrospectively.
Results All the procedures were performed successfully, including 5 open operation and 2 laparoscopic repair. The mean operation time was 85 min (ranged 68 to 130 min). After operation, 1 seroma formation and 1 hemorrhage in the thoracic cavity developed and were cured with the conservative therapy. Mean postoperative hospital stay was 9.5 d (ranged 8 to 16 d). There was no recurrence, infection, or prolonged pain during 1－4 years follow-up.
Conclusion Abdominal wall bulge is caused by the weakness of abdominal wall muscle, and the intraperitoneal onlay mesh repair with compound patch is an appropriate therapy.

Citation： FEI Yang,LI Jiye.. Abdominal Wall Bulge Repair with Intraperitoneal Compound Mesh in 7 Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(9): 955-958. doi: Copy

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10.	Burger JW, Luijendijk RW, Hop WC, et al. Longterm followup of a randomized controlled trial of suture versus mesh repair of incisional hernia [J]. Ann Surg, 2004; 240(4): 578583.
11.	Heartsill L, Richards ML, Arfai N, et al. Open RivesStoppa ventral hernia repair made simple and successful but not for everyone [J]. Hernia, 2005; 9(2): 162166.
12.	Franklin ME Jr, Gonzalez JJ Jr, Glass JL, et al. Laparoscopic ventral and incisional hernia repair: an 11year experience [J]. Hernia, 2004; 8(1): 2327.
13.	Bencini L, Sanchez LJ, Boffi B, et al. Incisional hernia: repair retrospective comparison of laparoscopic and open techniques [J]. Surg Endosc, 2003; 17(10): 15461551.
14.	Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair: a report of 100 consecutive cases [J]. Surg Endosc, 2000; 14(5): 419423.
15.	Chu UB, Adrales GL, Schwartz RW, et al. Laparoscopic incisional hernia repair: a technical advance [J]. Curr Surg, 2003; 60(3): 287291.
16.	李基业. 巨大腹壁切口疝的现代外科治疗 [J]. 中国普外基础与临床杂志, 2003; 10(1): 1012.
17.	李基业, 黎沾良. 腹壁切口疝治疗进展 [J]. 中国实用外科杂志, 2001; 21(2): 116118.
18.	蒲庆华, 时德. 应用聚丙烯与膨体聚四氟乙烯修补腹壁缺损的对比实验研究 [J]. 重庆医科大学学报, 2001; 26(3): 243246.
19.	Eid GM, Prince JM, Mattar SG, et al. Mediumterm followup confirms the safety and durability of laparoscopic ventral hernia repair with PTFE [J]. Surgery, 2003; 134(4): 599603.
20.	Cobb WS, Harris JB, Lokey JS, et al. Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases [J]. Am Surg, 2003; 69(9): 784787.
21.	Matthews BD, Pratt BL, Pollinger HS, et al. Assessment of adhesion formation to intraabdominal polypropylene mesh and polytetrafluoroethylene mesh [J]. J Surg Res, 2003; 114(2): 126132.
22.	费阳, 李基业. 复合材料对腹壁肿瘤切除后遗留巨大腹壁缺损修补的疗效分析（附45例报告） [J]. 中国医师进修杂志, 2007; 30(11): 13.

1. Chatterjee S, Nam R, Fleshner N, et al. Permanent flank bulge is a consequence of flank incision for radical nephrectomy in one half of patients [J]. Urol Oncol, 2004; 22(1): 3639.
2. Zieren J, Menenakos C, Taymoorian K, et al. Flank hernia and bulging after open nephrectomy: mesh repair by flank or median approach? Report of a novel technique [J]. Int Urol Nephrol, 2007; 39(4): 989993.
3. Flamholc L. Neurological complications in herpes zoster [J]. Scand J Infect Dis Suppl, 1996; 100: 3540.
4. Guidetti D, Gabbi E, Motti L, et al. Neurological complications of herpes zoster [J]. Ital J Neurol Sci, 1990; 11(6): 559565.
5. Hoffman RS, Smink DS, Noone RB, et al. Surgical repair of the abdominal bulge: correction of a complication of the flank incision for retroperitoneal surgery [J]. Am Coll Surg, 2004; 199(5): 830835.
6. 费阳, 李基业, 李涛. Proceed补片对腹壁硬纤维瘤切除后遗留巨大腹壁缺损修补的疗效分析 [J]. 临床外科杂志, 2007; 15(11): 772773.
7. 李基业. 腹壁膨出的诊断与处理 [J]. 中国普外基础与临床杂志, 2009; 16(2): 8991.
8. Flament BJ, Avisse C, Palot JP, et al. Twentyfive years of experience in incisional hernia surgery: a comparative retrospective study of 432 incisional hernia repairs [J]. Hernia, 2000; 4(Suppl 1): S25S29.
9. Langer C, Liersch T, Kley C, et al. Twentyfive years of experience in incisional hernia surgery. A comparative retrospective study of 432 incisional hernia repairs [J]. Chirurg, 2003; 74(7): 638645.
10. Burger JW, Luijendijk RW, Hop WC, et al. Longterm followup of a randomized controlled trial of suture versus mesh repair of incisional hernia [J]. Ann Surg, 2004; 240(4): 578583.
11. Heartsill L, Richards ML, Arfai N, et al. Open RivesStoppa ventral hernia repair made simple and successful but not for everyone [J]. Hernia, 2005; 9(2): 162166.
12. Franklin ME Jr, Gonzalez JJ Jr, Glass JL, et al. Laparoscopic ventral and incisional hernia repair: an 11year experience [J]. Hernia, 2004; 8(1): 2327.
13. Bencini L, Sanchez LJ, Boffi B, et al. Incisional hernia: repair retrospective comparison of laparoscopic and open techniques [J]. Surg Endosc, 2003; 17(10): 15461551.
14. Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair: a report of 100 consecutive cases [J]. Surg Endosc, 2000; 14(5): 419423.
15. Chu UB, Adrales GL, Schwartz RW, et al. Laparoscopic incisional hernia repair: a technical advance [J]. Curr Surg, 2003; 60(3): 287291.
16. 李基业. 巨大腹壁切口疝的现代外科治疗 [J]. 中国普外基础与临床杂志, 2003; 10(1): 1012.
17. 李基业, 黎沾良. 腹壁切口疝治疗进展 [J]. 中国实用外科杂志, 2001; 21(2): 116118.
18. 蒲庆华, 时德. 应用聚丙烯与膨体聚四氟乙烯修补腹壁缺损的对比实验研究 [J]. 重庆医科大学学报, 2001; 26(3): 243246.
19. Eid GM, Prince JM, Mattar SG, et al. Mediumterm followup confirms the safety and durability of laparoscopic ventral hernia repair with PTFE [J]. Surgery, 2003; 134(4): 599603.
20. Cobb WS, Harris JB, Lokey JS, et al. Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases [J]. Am Surg, 2003; 69(9): 784787.
21. Matthews BD, Pratt BL, Pollinger HS, et al. Assessment of adhesion formation to intraabdominal polypropylene mesh and polytetrafluoroethylene mesh [J]. J Surg Res, 2003; 114(2): 126132.
22. 费阳, 李基业. 复合材料对腹壁肿瘤切除后遗留巨大腹壁缺损修补的疗效分析（附45例报告） [J]. 中国医师进修杂志, 2007; 30(11): 13.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Abdominal Wall Bulge Repair with Intraperitoneal Compound Mesh in 7 Patients

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