Abstract:

BACKGROUND: Huge incisional abdominal wall hernia is a puzzle after abdominal surgery. Recently, polypropylene and polytetrafluoroethene synthetic patch are widely used in repairing huge incisional abdominal wall hernia, and there are successful and failure cases in clinical treatment.
OBJECTIVE: To evaluate the data characteristics and safety of using artificial patch to repair huge incisional abdominal wall hernia of 13 cases in 5 years.
METHODS: From January 2000 to June 2005, 13 cases suffered huge incisional abdominal wall hernia after abdominal surgery were selected, including 9 males and 4 female, mean aged 61 years. The maximum diameter of hernial ring was 20 cm, mean 16.1 cm. The complication was treated before surgery, skin and subcutaneous tissue was incised, the synechia around hernial sac was removed and the hernial ring was exposed. After that, the artificial patch with suitable size was placed between transverse fascia and posterior sheath of rectus abdominis, and the anterior sheath of rectus abdominis was dissociated to 3-cm far from hernial ring. The edges of patch were fixed to muscular fasciae and sutured. The circulatory function and respiratory function changes were monitored after surgery.
RESULTS AND CONCLUSION: All the 13 cases were recovered smoothly without serious complications. Subcutaneous hydrops occurred in 3 cases, but cured by needle puncture aspiration and local compression. All the cases were followed up for 1-3 years, and there was no recurrence. The results demonstrated that it is safe and effective to repair huge incisional abdominal wall hernia using artificial patch.