Clinical evaluation of artificial synthetic material for repairing incisional hernia of abdominal wall
10.3969/j.issn.1673-8225.2009.38.037
- VernacularTitle:人工合成材料在腹壁切口疝修补中应用的临床系统评价
- Author:
Feng TAO
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2009;13(38):7567-7570
- CountryChina
- Language:Chinese
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Abstract:
OBJECTIVE: To evaluate characteristics and security of artificial synthetic material for repairing incisional hernia of abdominal wall. METHODS: Articles about randomized controlled studies which were focus on repairing incisional hernia of abdominal wall were collected from CNKI from 2001 to 2009 with the retrieval words of "repairing materials for hernia,polypropylene patch, and incisional hernia ofabdominal wall". And then, those articles were summed up and analyzed. RESULTS: Among 24 tests, a total of 1 393 patients who had incisional hernia of abdominal wall, abdominal-wall defect, andinguinal hernia were included in the final analysis. Polypropylene patch and polytetrafluoroethylene patch could reconstruct integrity of abdominal wall during repairing large and huge incisional hernia, characterizing by less trauma, simple operation, rapid recovery, and low relapse rate. However, import patches were expensive. Home-made dacron materials for repairing hernia has been compared with import polypropylene patch, and the results indicated that dacron materials had light foreign body sensation and good complaisance after implantation; additionally, there was no significant difference in security and adverse reaction between dacron materials and import patches. CONCLUSION: Artificial synthetic materials characterize by great biocompatibility, strong anti-tensile strength, excellent tolerance to inflexion, optional cutting, beneficial for abdominal-wall defect at differential sizes, no comfortlessness, rapid recovery, low relapse rate, and less complication. Thus, artificial synthetic materials are extensive prospect.