Treatment experiences for complications of abdominal incisional hernia repair        YANG Yuan-yuan，HUANG He-guang， CHEN Yan-chang，et al. Department of General Surgery，Fujian Medical University Union Hospital，Fuzhou 350001，China
Corresponding author：HUANG He-guang，E-mail：hhuang2@ yahoo.com.cn
Abstract    Objective    To explore the causes and treatment experiences for complications of abdominal incisional hernia repair. Methods    The clinical data of seventy patients with abdominal incisional hernia who underwent surgical treatment from November 2004 to June 2012 in Fujian Medical University Union Hospital were analyzed retrospectivley. The cause, prevention and treatment of postoperative complications were summarized. Results    The operation time was 45-420 mins, and the average time was (171±88) mins. No one was dead during perioperative period. Sixty-eight patients (97.1%) were followed up. The follow-up time was 1-99 months, and the average time was (36 ± 23) months. Two patients lost to follow-up because of the change of the way to contact. Ten patients suffered from postoperative complications (14.3%), including incision infection in 2 patients (2.9%), intestinal obstruction in 3 patients (4.3%), intestinal fistula in 1 patient (1.5%), serum swollen in 2 patients (2.9%), abdominal pain in 2 patients (2.9%). Other patients had no discomfort. No recurrence, complications or death occurred. Conclusion    The key point to postoperative complications of abdominal incisional hernia repair is prevention, including the gastrointestinal cleaning and respiratory training before operations, careful separation, correct hemostasis and intraoperative positive anchoring, unobstructed drainage, infection prevention, pressure dressing and to deal with abdominal distension as soon as possible, preventing seroma and incisional infection after operations.