生物补片在合并造口旁疝的肠造口还纳术中的应用

目的探讨生物补片在合并造口旁疝的肠造口还纳术中的应用价值。 方法回顾分析2017年5月10日至2019年9月30日中山大学附属第六医院，应用生物补片（SIS）在合并造口旁疝的肠造口还纳术中进行一期修补的22例患者的临床资料，观察造口部位切口疝（SSIH）的发生率及术后疼痛、血清肿、补片感染等并发症发生率。 结果所有手术均顺利完成，Onlay修补16例，Sublay修补6例。仅1例（4.5%）出现SSIH（Onlay修补），术后疼痛以轻-中度为主，1周内基本回复正常，无血清肿、补片感染病例。Onlay与Sublay修补在SSIH发生率和其他并发症发生率方面差异无统计学意义。 结论应用生物补片在合并造口旁疝的肠造口还纳手术中加强筋膜缺损，在不明显增加手术并发症的情况下能显著降低SSIH的发生率，是一安全、有效的方法。

Application of biological mesh in stoma reversal with parastomal hernia

ObjectiveTo investigate the application value of biological mesh in stoma reversal with parastomal hernia. MethodsFrom May 10, 2017 to September 30, 2019, the clinical data of 22 patients who underwent primary repair by using biological mesh (SIS) in stoma reversal with parastomal hernia were retrospectively analyzed. The incidence of stoma site incisional hernia(SSIH) and the incidence of postoperative pain, seroma, patch infection and other complications were observed. ResultsAll operations were successfully completed, including onlay repair in 16 cases and sublay repair in 6 cases. Only 1 case (4.5%) had SSIH (onlay repair). The postoperative pain was mainly mild to moderate, and returned to normal within 1 week. There was no case of seroma or patch infection. There was no significant difference between onlay and sublay in the incidence of SSIH and other complications. ConclusionIt is a safe and effective method to strengthen fascial defect in stoma reversal with parastomal hernia by using biological patch, without increasing the complications of operation significantly.