Application of large abdominal incisional hernia repair patch of 30 Cases.docVIP

 PAGE \* MERGEFORMAT 8 Application of large abdominal incisional hernia repair patch of 30 Cases [Abstract] Objective To observe repairing large incisional hernia in patients with clinical results, the lessons learned. Methods of diagnosis and treatment of 30 patients after large abdominal incisional hernia in patients with clinical data. Results 30 cases were cured, were followed up 1 to 15 months no recurrence. Conclusion patch repair is the treatment of large abdominal incisional hernia effective way. [Keywords:] hernia surgery abdominal reoperation Incisional hernia is a common complication after abdominal surgery is one, representing the third hernia [1]. The traditional repair method there is a higher recurrence rate. Which is a huge incisional hernia recurrence rate. Houses from June 1999 ~ May 2008 a total of large abdominal incisional hernia diagnosis and treatment of 30 cases, the results are satisfactory, are as follows. 1 Materials and Methods 1.1 General information on the 30 cases, 16 males and 14 females, aged 38 to 85 years, mean 64 years. Hernial ring the maximum distance of 10 ~ 23cm, mean 14.8cm. The initial 20 cases of incisional hernia, recurrent hernia in 10 cases. Onset time after 2 to 15 months. 5 cases of patients with chronic bronchitis, diabetes in 6 cases, 4 cases of benign prostatic hyperplasia, chronic obstructive pulmonary disease in 3 cases, 4 cases of hypoproteinemia. repair material produced for the United States Bard Composix and Marlex mesh patch. 1.2 surgical cases, 30 cases of epidural anesthesia or general anesthesia. Resection of the surface of the original surgical scar hernia, hernia ring exposed, dissected along the edge of the clear layers of the abdominal wall tissue. Rectus incision occurred after treatment of incisional hernia is: free transverse rectus abdominis fascia and the gap between the sheath after, so over the edge of hernia ring 3 ~ 5cm, free rectus abdominis muscle to the ventral hernia