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首页> 外文期刊>Updates in Surgery >Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases
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Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases

机译：腹膜内复合网片修补大切口疝的开放式网膜的结果：我们的100例经验

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Incisional hernia repair sometimes requires intraperitoneal implantation of a mesh. This becomes necessary when the hernia opening is large, in particular, in patients with a low abdominal wall surface/wall defect surface (AWS/WDS) ratio, in large boundary incisional hernias where the proximity to bone structures or cartilage often complicates retromuscular mesh implantation and in multi-recurrent incisional hernias that are sometimes characterised by an actual loss of abdominal wall tissue. The authors report on the results of a series of 100 incisional hernias treated between 1999 and 2006 using the open technique to implant an intraperitoneal mesh (Parietex Composite). Mean follow-up time was 42 months (range 12–96 months). The mean wall defect surface was 95 cm2 (range 60–210 cm2). Twelve percent of patients suffered minor complications: 5 seromas (5%), 3 haematomas (3%) and 4 parietal suppurations (4%). No mesh had to be removed. The recurrence rate was 6%. At 6 months after surgery, no patient lamented pain or discomfort due to foreign body sensation. None of these patients presented intestinal occlusion or enterocutaneous fistulae. In conclusion, it is our opinion that the mesh should be implanted in direct contact with the viscera only where absolutely necessary, i.e., when it cannot be implanted in the retromuscular area without creating excessive parietal tension. Our experience with PC mesh, over the short-to-medium term, was positive. Naturally, further studies are required to evaluate long-term biocompatibility.
机译：切口疝修补术有时需要腹膜内植入网片。当疝开口大时，尤其是在腹壁壁/壁缺损表面（AWS / WDS）比低的患者中，在较大的边界切开疝中，靠近骨骼结构或软骨的手术通常会使后肌网植入变得复杂，这变得很有必要。在多发性切开疝中，有时以腹壁组织的实际缺失为特征。作者报告了1999年至2006年间使用开放技术植入腹膜内网（Parietex Composite）治疗的一系列100例切口疝的结果。平均随访时间为42个月（范围12-96个月）。平均壁缺陷表面为95 cm2 （范围60-210 cm2 ）。 12％的患者患有轻度并发症：5个血清肿（5％），3个血肿（3％）和4个顶叶化脓（4％）。无需删除任何网格。复发率为6％。手术后6个月，没有患者因异物感而感到疼痛或不适。这些患者均未出现肠阻塞或肠皮肤瘘。总而言之，我们认为，仅在绝对必要的情况下，即在无法将其植入后肌区域而不会产生过高的顶壁张力的情况下，才应将网植入与内脏直接接触。从短期到中期，我们在PC网格方面的经验是积极的。自然，需要进一步的研究来评估长期的生物相容性。

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