20 cases of incisional hernia patch Treatment.docVIP

 PAGE \* MERGEFORMAT 8 20 cases of incisional hernia patch Treatment [Abstract] Objective To summarize the treatment of incisional hernia repair clinical experience. Methods Retrospective analysis of 20 cases of patients with incisional hernia information, repair patch materials used in polypropylene patch, postoperative abdominal pressure, preventive use of antibiotics and placed drainage were followed up for 1-2 years in patients with complications and recurrence rate . Results The patient 10-21 days patients were discharged. 15 patients were followed-up, 2 patients (10%) relapse, after re-repair after the cure. Conclusion patch repair of incisional hernia good results, surgical injury and postoperative recovery was quick, perioperative-operative period can be properly handled to avoid postoperative complications. [Keywords:] incisional hernia patch We are in January 2002 in August 2009 with patch repair of incisional hernia in 20 cases, results were very good, the report is as follows. A clinical data 1.1 In general The group of 20 patients, 16 males and 4 females, aged 52-75 years, mean 62 years; 20 cases of hernia in patients with diameter of 5-10cm, mean 7.5cm. Incisional hernia areas: the right upper abdominal incision through the rectus abdominis muscle in 9 cases, upper abdominal incision hernia in 5 cases, lower abdominal incision hernia in 4 cases, right lower abdomen through the rectus abdominis incision hernia in 2 cases. 20 cases, 5 cases were recurrent hernia. There were 13 cases with intra-abdominal pressure increased to promote diseases such as COPD, prostatic hypertrophy, liver cirrhosis ascites, constipation, etc., 2 cases with a history of diabetes. 1.2 Repair Materials Polypropylene patch for the repair without peritoneal defect cases, a total of 17 cases; peritoneal defect cases, a total of 3 cases, we have adopted a free part of the peritoneal repair, and then patch. 1.3 Preoperative preparation Because incisional hernia patient