• 北京解放軍304醫(yī)院普外科（北京100037）;

腹壁巨大切口疝的修補是很困難的手術(shù)，在一些特殊的病例中，由于患者的全身情況嚴(yán)重惡化使得切口疝無法修補，如年老、病態(tài)性肥胖及呼吸功能嚴(yán)重紊亂的患者。近年來，隨著生物材料在疝和腹壁外科的廣泛應(yīng)用，對巨大腹壁切口疝的治療已取得了明顯進(jìn)展。

引用本文： 李基業(yè). 巨大腹壁切口疝的現(xiàn)代外科治療. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(1): 10-12. doi: 復(fù)制

1. 中華外科學(xué)會疝和腹壁外科學(xué)組. 腹股溝疝、股疝和腹壁切口疝手術(shù)治療方法（草案） [J]. 中國實用外科雜志， 2000； 21（10）∶增頁.
2. Flament JB, Polot JP, Avisse C. Massive Multi Recurrent Incisional HerniaProsthetic Repair [M]. In: Kurzer M, Kark AE, Wantz GE, eds. Surgical management of abdominal wall hernias. London: Martin Dunitz Publishers, 1997∶227-240.
3. Schumpelick V. Incisional Hernia [M]. 3th Edition. Berlin: Enke Publication, 1996∶568-569.
4. Flament JB, Avisse C, Polot JP, et al. Complication in incisional hernia repairs by the placement of retromuscular prosthesis [J]. Hernia, 2000； 4(Suppl 1)∶25.
5. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery [J]. Hernia, 1997; 1(1)∶15.
6. 李基業(yè)，張鑫奎，鄧群，等. 合成材料修補切口疝37例分析 [J]. 臨床外科雜志， 2002； 10（2）∶92.
7. Arnaud JP, Cervi C, Tuech JJ, et al. Surgical treatment of postoperative incisional hernia by intraperitoneal insertion of a Dacron mesh [J]. Hernia, 1997; 1(1)∶97.
8. March F, Brunand L, Sebbag H, et al. Treatment of incisional hernias by placement of an intraperitoneal prosthesis: a series of 128 patients [J]. Hernia, 1999; 3(2)∶141.
9. Savioz D, Ludwig C, Leissing C, et al. Repeated macroscopic haematuria caused by intravesical migration of a preperitoneal prosthesis [J]. Eur J Surg, 1997; 163(5)∶631.
10. Bendavid R. Composite mesh in the intraperitoneal position. A repeat of 30 cases [J]. Hernia, 1997; 1(1)∶5.
  1. 1. 中華外科學(xué)會疝和腹壁外科學(xué)組. 腹股溝疝、股疝和腹壁切口疝手術(shù)治療方法（草案） [J]. 中國實用外科雜志， 2000； 21（10）∶增頁.
  2. 2. Flament JB, Polot JP, Avisse C. Massive Multi Recurrent Incisional HerniaProsthetic Repair [M]. In: Kurzer M, Kark AE, Wantz GE, eds. Surgical management of abdominal wall hernias. London: Martin Dunitz Publishers, 1997∶227-240.
  3. 3. Schumpelick V. Incisional Hernia [M]. 3th Edition. Berlin: Enke Publication, 1996∶568-569.
  4. 4. Flament JB, Avisse C, Polot JP, et al. Complication in incisional hernia repairs by the placement of retromuscular prosthesis [J]. Hernia, 2000； 4(Suppl 1)∶25.
  5. 5. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery [J]. Hernia, 1997; 1(1)∶15.
  6. 6. 李基業(yè)，張鑫奎，鄧群，等. 合成材料修補切口疝37例分析 [J]. 臨床外科雜志， 2002； 10（2）∶92.
  7. 7. Arnaud JP, Cervi C, Tuech JJ, et al. Surgical treatment of postoperative incisional hernia by intraperitoneal insertion of a Dacron mesh [J]. Hernia, 1997; 1(1)∶97.
  8. 8. March F, Brunand L, Sebbag H, et al. Treatment of incisional hernias by placement of an intraperitoneal prosthesis: a series of 128 patients [J]. Hernia, 1999; 3(2)∶141.
  9. 9. Savioz D, Ludwig C, Leissing C, et al. Repeated macroscopic haematuria caused by intravesical migration of a preperitoneal prosthesis [J]. Eur J Surg, 1997; 163(5)∶631.
  10. 10. Bendavid R. Composite mesh in the intraperitoneal position. A repeat of 30 cases [J]. Hernia, 1997; 1(1)∶5.