analysis of application bard composite patch repair of incisional hernia（分析切口疝的巴德复合应用程序补丁修复）.docVIP

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2017-09-05 发布于浙江
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analysis of application bard composite patch repair of incisional hernia（分析切口疝的巴德复合应用程序补丁修复）.doc

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analysis of application bard composite patch repair of incisional hernia（分析切口疝的巴德复合应用程序补丁修复）

Analysis of application Bard composite patch repair of incisional hernia [Keywords] hernia, abdominal; Bard composite patch; incisional hernia Incisional hernia is a common complication after abdominal surgery, were not timely and effective after such treatment, will gradually increase its mass, abdominal wall defects will increase, affecting the life and work of patients, and even incarceration and strangulation occur narrow life-threatening, and incisional hernia surgery is the only effective treatment, according to the size of abdominal wall defects, abdominal wall defects can be directly sutured, or the application of artificial materials, repair of abdominal wall defects. application of Bard composite patch (Bard Composix) to repair the incisional hernia repair methods, the patch is two kinds of polypropylene and extruded PTFE composite material made of double-sided patch, with good tensile strength and anti-adhesion, etc., due to the direct and peritoneal suture reduces wound tension, while outside the patch and the fascia covering the muscle, granulation tissue easy to hole a long network, conducive to wound healing [1]. Since 2004, the application of Bard Composix repair of incisional hernia in 11 cases, are summarized as follows. Clinical data 1.1 In general 11 patients, 3 males and 8 females; appendectomy in 5 cases (Maxwell incision in 4 cases, under the right rectus incision in 1 case), biliary tract surgery in 2 cases (right upper quadrant incision under the costal margin in 1 case, right upper quadrant rectus incision in 1 case), umbilical hernia recurrence in 1 case, laparotomy in 2 cases (left and right rectus incision in 1 case), abdominal aortic - iliac artery bypass surgery (next to the left rectus incision), 1 case; defect maximum diameter of 5 ~ 12 cm. 1.2 Procedures 11 cases were open surgery, hernia surgery and found varying degrees of intra-abdominal adhesions, 2 patients because of severe adhesion in the intestinal da