关键词: 腹壁切口疝, 开放式补片修补, 并发症, 补片固定

Abstract: Objective To analyze the clinical outcome of open mesh repair in treating ventral incisional hernia. Methods A retrospective analysis was performed for 210 patients with ventral incision hernia who had open mesh repaired from October 2013 to March 2018 in this hospital. The postoperative complications including seroma, incision infection, mesh infection, chronic pain, intestinal fistula, hernia recurrence and mortality were evaluated between 2 repairs [intraperitoneal onlay mesh (IPOM) and sublay] and between 2 mesh fix methods. Results After operation, there were 25 cases (11.90%) of seroma, 14 cases (6.67%) of incision infection, 3 cases (1.43%) of mesh infection, 7 cases (3.33%) of chronic pain, 3 cases (1.43%) of intestinal fistula, 7 cases (3.33%) of recurrence and 2 cases(0.95%) of death. The patients with postoperative seroma using IPOM repair were lower than those using Sublay repair(P<0.05) with significant difference. There was no significant difference in other complications and hernia recurrence rate between 2 repairs (P>0.05). There was no statistically significant difference in complications between the patients using reinforcement and bridging after Sublay repair (P>0.05). The case with chronic pain and recurrence rates had no statistically significant difference (P>0.05) using non-absorbable hernia nail when compared those using absorbable hernia nail. Conclusions Open ventral incisional hernia mesh repair is considered as safe and effective.

Key words: Ventral incisional hernia, Open mesh repair, Complication, Mesh fixed