PDF(Pubmed)
Abstract：
BACKGROUND: Ventral hernia repair is one of the challenging surgical operations over time. Several surgical techniques for mesh repair have been described (onlay, inlay, sublay, and underlay repairs). It is suggested that sublay mesh repair has the lowest recurrence and surgical site infection in open anterior abdominal hernia repair. This study aimed to analyze the pros and cons of the sublay mesh in ventral hernia repair to evaluate the significance of this technique as a treatment modality. Hospital stay, acute postoperative complications, and the recurrence rate were the main areas of investigation.
METHODS: A retrospective study on 79 patients with ventral hernias who were operated on with sublay mesh repair between January 2015 and December 2018 was conducted. Patients were admitted through the elective route. The study included fit patients with first-time ventral hernias (primary and incisional). Recurrent hernia, patients with decompensated cardiopulmonary disorders, and bleeding disorders were excluded from the project. The project pro forma includes patient\'s demographics, operative details, length of stay, postoperative complications, and follow-up up to 12 months.
RESULTS: All patients underwent open mesh repair using the sublay technique. The ventral hernia was five times more common in females than males. The mean age of presentation was 44.8 years old. The mean operating time was 67 minutes and a one-day hospital stay. Paraumblical and incisional hernias represented the majority of cases. The component separation approach was added in three cases (3.7%). Simultaneous cholecystectomy was performed in two cases (2.5%). Only six cases (6.3%) developed wound-related complications, while two cases (2.5%) had a recurrence.
CONCLUSIONS: The sublay mesh repair is a perfect choice for the repair of ventral abdominal hernia. It is associated with a smooth and short hospital stay and the least incidence of complications and recurrence.
METHODS: A retrospective study on 79 patients with ventral hernias who were operated on with sublay mesh repair between January 2015 and December 2018 was conducted. Patients were admitted through the elective route. The study included fit patients with first-time ventral hernias (primary and incisional). Recurrent hernia, patients with decompensated cardiopulmonary disorders, and bleeding disorders were excluded from the project. The project pro forma includes patient\'s demographics, operative details, length of stay, postoperative complications, and follow-up up to 12 months.
RESULTS: All patients underwent open mesh repair using the sublay technique. The ventral hernia was five times more common in females than males. The mean age of presentation was 44.8 years old. The mean operating time was 67 minutes and a one-day hospital stay. Paraumblical and incisional hernias represented the majority of cases. The component separation approach was added in three cases (3.7%). Simultaneous cholecystectomy was performed in two cases (2.5%). Only six cases (6.3%) developed wound-related complications, while two cases (2.5%) had a recurrence.
CONCLUSIONS: The sublay mesh repair is a perfect choice for the repair of ventral abdominal hernia. It is associated with a smooth and short hospital stay and the least incidence of complications and recurrence.
摘要：
背景：随着时间的推移，腹侧疝修补术是一项具有挑战性的外科手术。已经描述了几种用于网片修复的外科技术(onlay，嵌体,sublay,和底层维修)。提示在开腹前腹疝修补术中，皮下网片修补术的复发率和手术部位感染最低。本研究旨在分析腹侧疝修补术中下位网的利弊，以评估该技术作为治疗方式的意义。住院,急性术后并发症，复发率是主要的调查领域。
方法：回顾性研究了2015年1月至2018年12月期间79例腹侧疝患者行网状修补术。患者通过选修途径入院。该研究包括初次腹侧疝（原发性和切口）的适合患者。复发性疝气,失代偿性心肺疾病患者，出血性疾病被排除在项目之外。该项目形式包括患者的人口统计，操作细节,逗留时间,术后并发症,并随访12个月。
结果：所有患者均使用覆盖技术进行了开放网孔修复。女性腹侧疝的发生率是男性的五倍。呈现的平均年龄为44.8岁。平均手术时间为67分钟，住院时间为一天。旁疝和切口疝占大多数病例。在三种情况下添加了组分分离方法(3.7%)。2例（2.5％）同时进行胆囊切除术。只有6例(6.3%)出现伤口相关并发症,而2例(2.5%)复发。
结论：下置网修补是腹腹疝修补的理想选择。它与顺利和短暂的住院时间以及并发症和复发的发生率最低有关。
方法：回顾性研究了2015年1月至2018年12月期间79例腹侧疝患者行网状修补术。患者通过选修途径入院。该研究包括初次腹侧疝（原发性和切口）的适合患者。复发性疝气,失代偿性心肺疾病患者，出血性疾病被排除在项目之外。该项目形式包括患者的人口统计，操作细节,逗留时间,术后并发症,并随访12个月。
结果：所有患者均使用覆盖技术进行了开放网孔修复。女性腹侧疝的发生率是男性的五倍。呈现的平均年龄为44.8岁。平均手术时间为67分钟，住院时间为一天。旁疝和切口疝占大多数病例。在三种情况下添加了组分分离方法(3.7%)。2例（2.5％）同时进行胆囊切除术。只有6例(6.3%)出现伤口相关并发症,而2例(2.5%)复发。
结论：下置网修补是腹腹疝修补的理想选择。它与顺利和短暂的住院时间以及并发症和复发的发生率最低有关。
