Abstract:

Objective

To evaluate the clinical experience of perioperative management for huge abdominal incisional hernia.

Methods

Twenty-one patients with huge incisional hernia treated in our hospital from Jan.2003 to Jan.2008 were analyzed retrospectively.

Results

The hernial diameter was 10-23 (14.4±5.2)cm,the percentage of the contents of the sac defined and the abdominal contents that have lost domain in 3 patients are more than twenty percent. Evidence increase of intraabdiminal pressure occurred in 11 patients. Preoperative pressure abdominal belt and induced pneumoperitoneum were used in 16 and 5 patients,respectively.The operation was aborted in 2 patients.Draining ducts were extracted during 4-7(5.4±1.6)days postoperatively.2 patients occurred subcutaneous dropsy.All patients use abdominal belt for two weeks postoperatively.No incisional infection or mesh rejection occurred.One recurrent case was found during the postoperative follow-up period.

Conclusion

Perioperative evaluation and management is the most important for patients with huge abdominal incisionalhernia.

Key words: Hernia,abdorminal, Perioperative period