关键词: 切口疝, 缝合方法, 缝合材料

Abstract: "Multidimensional" suture：An innovative technique for suture of incisional hernia        JIANG Zhi-peng, ZHOU Tai-cheng, ZENG Bing, et al. Department of Gastrointestinal and Hernia Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510065, China
Corresponding author: CHEN Shuang, E-mail: chensh2@mail.sysu.edu.cn
Abstract    The conventional suture can be regarded as a kind of "plane" suture in which the point of entry and exit of needle bear the force to make the wound close. The method has been used in suture of the incisional hernia, but there are many problems. The morphological progress of suture materials promotes the innovation of suture technology and suture method. Just like the fishbone protuberance on the Stratafix Symmetric, it can change the stress point of suture, such as the wheels of "gear". Through continuous stitching, the combination of "gears" can be formed, such as the structure of "transmission", and the space can be reduced by tightening the suture. The technique was called "multidimensional" suture. The application of such technique in suture of incisional hernia can effectively eliminate the space of hernia sac, accurately close the fascia defect and restore the thickness of abdominal wall. In the clinical practice, satisfactory results have been achieved. The "multidimensional" suture technique will potentially provide a safer and more effective method for surgical treatment of incisional hernia.

Key words: incisional hernia, technique of suture, suture material