预置疝补片对回肠造口还纳术后原造口部位切口疝的预防作用

Preventive Effects of Prophylactic Hernia Mesh Placement in Incisional Hernia after Ileostomy Reversal

摘要: 目的：探讨预置疝补片对预防造口部位切口疝的作用。方法：回顾性分析2018年1月至2020年1月，共31例行回肠造口还纳患者的临床资料，其中对照组直接行造口还纳15例，实验组行回肠还纳术同时预置疝补片16例。结果：两组患者在出血量、术后住院时间、切口感染、腹腔感染、异物及疼痛感方面比较，差异无统计学意义(p > 0.05)。在手术时间上预置疝补片组长于对照组(p < 0.05)，但在术后再发造口部位切口疝方面上，预置疝补片组明显优于对照组，差异有统计学意义(p < 0.05)。结论：在回肠造口还纳患者中行预置疝补片安全有效，可预防术后造口部位切口疝的发生，且并不增加术后并发症的发生率。

Abstract: Objective: To investigate the preventive effects of Prophylactic hernia mesh placement in incisional hernia after ileostomy reversal. Methods: The clinical data of 31 patients with ileostomy reversal from December 2013 to December 2015 were retrospectively collected. Of the patients, 15 cases received control group with ileostomy reversal, 16 cases underwent ileostomy reversal and were placed the hernia mesh simultaneously. Results: No statistical difference was noted in intraoperative blood loss, hospitalization time, infection of incisional wound, intra-abdominal infection, foreign body sensation and pain sensation between the two groups (p > 0.05), the incidence rate of incisional hernia in prophylactic hernia mesh placement group was significantly lower than that control group (p < 0.05). Conclusions: The application of Prophylactic hernia mesh placement can effectively prevent the occurrence of incisional hernia after ileostomy reversal, with better curative effects and safety, and it does not increase the incidence of postoperative complications.