腹壁切口疝64例治疗体会

目的探讨腹壁切口疝的治疗及其围手术期处理。方法回顾性分析我院2000年1月~2004年10月64例腹壁切口疝的治疗经过。结果行单纯性疝修补术20例,无张力补片修补术44例。随访8~45月,无一例复发。结论应用聚丙烯补片、术前腹带加压包扎2周、术前预防性应用抗生素及常规肠道准备对于防治腹壁切口疝是安全、经济、可靠的方法。

Treatment of 64 cases of incisional hernia of abdominal wall

Objective To explore the treatment and the perioperative management of incisional hernia of abdominal wall.Methods From January 2000 to October 2004,64 cases with incisional hernia of abdominal wall treated in Xinhua Hospital were analyzed retrospectively.Results In all 64 cases,8 had small incisional hernia,20 big nicisional hernia and 36 giant incisional hernia.Twenty were followed up for 8 months to 45 months and no recurrence occurred.Conclusion Application of prolene mesh,preoperative compress bandaging with abdominal bandage for two weeks,preoperative prophylactic application of antimicrobial and routine intestinal preparation can prevent the occurrence of incisional hernia of abdominal wall.