외복사근 근막 유리술을 이용한 거대 절개탈장의 수술 경험 1예
Primary Repair of a Huge Incisional Hernia by Using an External Oblique Myofascial Releasing Technique without Mesh - A Case Report -
박기재, 우진희, 이학윤, 이세용, 신종석, 노영훈, 김성흔, 최홍조,
소속 상세정보
박기재 ( Park Ki-Jae )
동아대학교 의과대학 외과학교실
우진희 ( Woo Jin-Hee )
동아대학교 의과대학 외과학교실
이학윤 ( Lee Hak-Youn )
동아대학교 의과대학 외과학교실
이세용 ( Lee Se-Yong )
동아대학교 의과대학 외과학교실
신종석 ( Shin Jong-Sok )
동아대학교 의과대학 외과학교실
노영훈 ( Roh Young-Hoon )
동아대학교 의과대학 외과학교실
김성흔 ( Kim Sung-Heun )
동아대학교 의과대학 외과학교실
최홍조 ( Choi Hong-Jo )
동아대학교 의과대학 외과학교실
KMID : 0356720080240050386
Abstract
Incisional hernias are one of the most common complications after abdominal surgery and are an important cause of postoperative morbidity. Various methods are available for repairing incisional hernias, such as primary suture repair, an open mesh technique, and a laparoscopic mesh technique. The surgical management of a large incisional hernia by using a prosthetic mesh in a contaminated operative field (i.e., opened bowel from previous stoma or bowel resection) remains a difficult challenge because the non-absorbable mesh used is accompanied by a potential risk of infection and its related morbidity. We present a case of a large abdominal-wall defect, which was corrected by utilizing an external oblique myofascial releasing technique without the use of mesh, in a patient with an incisional hernia coexistent with Hartmann’s colostomy. J Korean Soc Coloproctol 2008;24:386-389
키워드
절개탈장;근막유리술;하트만 장루
Incisional hernia;Myofascial releasing technique;Hartmann’s colostomy
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