Curative effect analysis of three mesh positions for treatment of ventral hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 CHEN Yake ¹ , CHEN Jianmin ¹ , WANG Dianchen ¹ , ZHANG Yi ¹ , QU Pan ¹ , TANG Jianxiong ²

1. Department of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, R. P. China;
2. Department of General Surgery, Donghua Hospital Affiliated to Fudan University, Shanghai 200040, R. P. China;

Corresponding?author：

CHEN Yake, Email: chenyake2007@126.com

Keywords：

ventral hernia; pain; herniorrhaphy; hernia recurrence

DOI：

10.7507/1007-9424.202004055

Video：

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Objective To study the clinical efficacy of three mesh positions for treatment of ventral hernia.Methods The data of 87 patients undergoing abdominal incision hernia repair from January 2015 to January 2017 in the First Affiliated Hospital of Zhengzhou University were analyzed respectively. They were divided into three groups according to the different mesh position, Onlay treatment (n=28), Inlay treatment (n=27) and Sublay treatment (n=32). The curative effect and complications of three different surgical methods were compared and analyzed.Results All the patients were recovered and discharged. A total of 6 cases among 87 patients had incision fat liquefaction, 1 patient had superficial infection and 2 patients had postoperative incision hematoma. After 3 to 36 months of follow-up (average 8 months), 3 cases of 87 patients recurred.Conclusions Three kinds of surgeries for ventral hernia are feasibility and value, Sublay treatment is not only less pain and complications but more effective. We should strengthen the screening of preoperative cases and selecting appropriate surgical methods to prevent and reduce the recurrence of hernia.

Citation： CHEN Yake, CHEN Jianmin, WANG Dianchen, ZHANG Yi, QU Pan, TANG Jianxiong. Curative effect analysis of three mesh positions for treatment of ventral hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(1): 38-42. doi: 10.7507/1007-9424.202004055 Copy

1.	石玉龍, 郭曉波. 腹壁切口疝的診療程序. 臨床外科雜志, 2013, 21(6): 475-477.
2.	龔方友, 王昆華. 腹壁切口疝外科治療現狀及進展. 中華疝和腹壁外科雜志 (電子版), 2012, 6(4): 914-916.
3.	中華醫學會外科學分會疝和腹壁外科學組. 腹壁切口疝診療指南 (2018 年版). 中國實用外科雜志, 2018, 38(7): 701-703.
4.	Bell R, Ward D, Jeffery J, et al. A randomized controlled trial comparing epidural analgesia versus continuous local anesthetic infiltration via abdominal wound catheter in open liver resection. Ann Surg, 2019, 269(3): 413-419.
5.	李基業, 馬頌章. 腹壁切口疝手術治療方案 (草案). 腹部外科, 2012, 17(1): 64-65.
6.	Lomanto D, Cheah WK, Faylona JM, et al. Inguinal hemia repair: toward Asian guidelines. Asian J Endosc Surg, 2015, 8(1): 16-23.
7.	楊媛媛, 黃鶴光, 陳燕昌, 等. 腹壁切口疝修補術后并發癥 70 例分析. 中國實用外科雜志, 2013, 33(3): 218-220.
8.	Erdas E, Medas F, Cordini L, et al. Tailored anterior tension-free repair for the treatment of recurrent inguinal hernia previously repaired by anterior approach. Hernia, 2016, 20(3): 393-398.
9.	Romanowska M, Okniński T, Pawlak J, et al. Hybrid technique for postoperative ventral hernias-own experience. Wideochir Inne Tech Maloinwazyjne, 2016, 10(4): 534-540.
10.	Giordano S, Schaverien M, Garvey PB, et al. Advanced age does not affect abdominal wall reconstruction outcomes using acellular dermal matrix: A comparative study using propensity score analysis. Am J Surg, 2017, 213(6): 1046-1052.
11.	Utkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am, 2003, 83(5): 1045-1051.
12.	張賢坤, 劉宏斌, 韓曉鵬, 等. 腹壁復發切口疝的治療體會. 中國普外基礎與臨床雜志, 2015, 22(8): 998-1000.
13.	Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg, 1989, 13(5): 545-554.
14.	周力, 王曉輝, 李小軍, 等. 切口疝無張力修補術后復發的多因素分析. 中國普外基礎與臨床雜志, 2015, 22(8): 972-976.
15.	中華醫學會外科學分會疝與腹壁外科學組, 中國醫療保健國際交流促進會臨床實用技術分會腹壁修復與重建外科學組. 腹壁缺損修復與重建中國專家共識. 中國實用外科雜志, 2019, 39(2): 101-109.
16.	Guérin G, Turquier F. Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach. Hernia, 2013, 17(5): 647-655.
17.	Shell DH 4th, de la Torre J, Andrades P, et al. Open repair of ventral hemia incisions. Surg Clin North Am, 2008, 88(1): 61-83.
18.	Staikes N, Quasebarth M, Brunt LM. Hybrid ventral hernia repair: techniques and results. Hernia, 2013, 17(5): 627-632.
19.	呂志強, 戴瑋, 沈根海, 等. 應用 UHS 行無張力疝修補的體會. 中國普外基礎與臨床雜志, 2014, 21(10): 1292-1294.
20.	高峰, 李榮江, 張晶銳, 等. 腹腔鏡完全腹膜外腹股溝疝修補術 3D 補片免固定技術的臨床應用體會. 中國普外基礎與臨床雜志, 2015, 22(3): 346-347.
21.	Mitura K, Skolimowska-Rzewuska M, Garnysz K. Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias. Surg Endosc, 2017, 31(1): 382-388.
22.	陳杰. 重視腹外疝修補術后并發癥的防治. 中國普外基礎與臨床雜志, 2013, 20(10): 1173-1175.
23.	牟一平, 方素華, 徐曉武, 等. 改良式腹腔鏡腹壁切口病修補術六例體會. 中華普通外科雜志, 2005, 20(9): 597.
24.	李基業. 切口疝合成補片修補后復發疝的再修補. 中國普外基礎與臨床雜志, 2013, 20(12): 1333-1336.

1. 石玉龍, 郭曉波. 腹壁切口疝的診療程序. 臨床外科雜志, 2013, 21(6): 475-477.
2. 龔方友, 王昆華. 腹壁切口疝外科治療現狀及進展. 中華疝和腹壁外科雜志 (電子版), 2012, 6(4): 914-916.
3. 中華醫學會外科學分會疝和腹壁外科學組. 腹壁切口疝診療指南 (2018 年版). 中國實用外科雜志, 2018, 38(7): 701-703.
4. Bell R, Ward D, Jeffery J, et al. A randomized controlled trial comparing epidural analgesia versus continuous local anesthetic infiltration via abdominal wound catheter in open liver resection. Ann Surg, 2019, 269(3): 413-419.
5. 李基業, 馬頌章. 腹壁切口疝手術治療方案 (草案). 腹部外科, 2012, 17(1): 64-65.
6. Lomanto D, Cheah WK, Faylona JM, et al. Inguinal hemia repair: toward Asian guidelines. Asian J Endosc Surg, 2015, 8(1): 16-23.
7. 楊媛媛, 黃鶴光, 陳燕昌, 等. 腹壁切口疝修補術后并發癥 70 例分析. 中國實用外科雜志, 2013, 33(3): 218-220.
8. Erdas E, Medas F, Cordini L, et al. Tailored anterior tension-free repair for the treatment of recurrent inguinal hernia previously repaired by anterior approach. Hernia, 2016, 20(3): 393-398.
9. Romanowska M, Okniński T, Pawlak J, et al. Hybrid technique for postoperative ventral hernias-own experience. Wideochir Inne Tech Maloinwazyjne, 2016, 10(4): 534-540.
10. Giordano S, Schaverien M, Garvey PB, et al. Advanced age does not affect abdominal wall reconstruction outcomes using acellular dermal matrix: A comparative study using propensity score analysis. Am J Surg, 2017, 213(6): 1046-1052.
11. Utkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am, 2003, 83(5): 1045-1051.
12. 張賢坤, 劉宏斌, 韓曉鵬, 等. 腹壁復發切口疝的治療體會. 中國普外基礎與臨床雜志, 2015, 22(8): 998-1000.
13. Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg, 1989, 13(5): 545-554.
14. 周力, 王曉輝, 李小軍, 等. 切口疝無張力修補術后復發的多因素分析. 中國普外基礎與臨床雜志, 2015, 22(8): 972-976.
15. 中華醫學會外科學分會疝與腹壁外科學組, 中國醫療保健國際交流促進會臨床實用技術分會腹壁修復與重建外科學組. 腹壁缺損修復與重建中國專家共識. 中國實用外科雜志, 2019, 39(2): 101-109.
16. Guérin G, Turquier F. Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach. Hernia, 2013, 17(5): 647-655.
17. Shell DH 4th, de la Torre J, Andrades P, et al. Open repair of ventral hemia incisions. Surg Clin North Am, 2008, 88(1): 61-83.
18. Staikes N, Quasebarth M, Brunt LM. Hybrid ventral hernia repair: techniques and results. Hernia, 2013, 17(5): 627-632.
19. 呂志強, 戴瑋, 沈根海, 等. 應用 UHS 行無張力疝修補的體會. 中國普外基礎與臨床雜志, 2014, 21(10): 1292-1294.
20. 高峰, 李榮江, 張晶銳, 等. 腹腔鏡完全腹膜外腹股溝疝修補術 3D 補片免固定技術的臨床應用體會. 中國普外基礎與臨床雜志, 2015, 22(3): 346-347.
21. Mitura K, Skolimowska-Rzewuska M, Garnysz K. Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias. Surg Endosc, 2017, 31(1): 382-388.
22. 陳杰. 重視腹外疝修補術后并發癥的防治. 中國普外基礎與臨床雜志, 2013, 20(10): 1173-1175.
23. 牟一平, 方素華, 徐曉武, 等. 改良式腹腔鏡腹壁切口病修補術六例體會. 中華普通外科雜志, 2005, 20(9): 597.
24. 李基業. 切口疝合成補片修補后復發疝的再修補. 中國普外基礎與臨床雜志, 2013, 20(12): 1333-1336.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Curative effect analysis of three mesh positions for treatment of ventral hernia

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