Repair of complex abdominal incisional hernia with acellular dermal matrix
10.3760/cma.j.issn.1007-631X.2011.11.011
- VernacularTitle:应用脱细胞真皮基质材料修补复杂腹壁切口疝
- Author:
Xiaojun LI
;
Xiaoqiang WANG
;
Yanbin LONG
;
Jian QIU
;
Ruipeng ZHANG
- Publication Type:Journal Article
- Keywords:
Hernia,ventral;
Biocompatible materials;
Acellular dermal matrix;
Abdominal wall reconstruction
- From:
Chinese Journal of General Surgery
2011;26(11):921-924
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the repair of abdominal complicated incisional hernia using acellular dermal matrix (ADM).Methods Retrospective analysis was made on 7 cases with abdominal complicated incisional hernia treated by ADM in our hospital from January 2008 to June 2010,among them there were 4 males and 3 females.Age ranged from 43 to 83 years and the median age was 53 years.Two concurrent indirect inguinal hernia cases were repaired and concurrent gastrointestinal tract problems including 2 small bowd fistulas were operated one stage in 5 cases.Mean diameter of hernia ring was ( 11.6 ± 2.8 ) cm,ranged from 9.2 to 16.5 cm.5 cases were repaired by using intraperitoneal onlay mesh,others using total extraperitoneal prothesis.Results All patients were operated on successfully.Average time was (33 ±12) min.Blood loss was (16 ±4) ml.Hospital stay was 7 - 12 d.7 patients repaired by ADM fully recovered.There were no chronic pain,paresthesia,pneumonia and urinary tract infection cases,no incision swelling,seroma or infection.All patients were followed up with median time of 14 months,ranging from 5 to 26 months.There were not hernia recurrence,nor surgical site infection during follow-up period.Conclusions For the repairing of abdominal complicated incisional hernia,the application of acellular dermal matrix is safe and effective method especially in those of incisional hernia complicated by infection.
