Hybrid technique for the repair of large complicated incisional hernia：Report of 28 cases        YANG Bin, JIANG Zhi-peng, LI Ying-ru, et al. Department of Gastrointestinal Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China    
Corresponding author：CHEN Shuang，E-mail：sysusc@126.com
Abstract    Objective    To evaluate the operational skills and efficacy of a combined laparoscopic and open technique (hybrid technique) for the repair of large complicated incisional hernia. Methods    The clinical data of 28 cases of large complicated incisional hernia underwent hybrid repair technique from September 2008 to February 2011 in Sun Yat-sen Memorial Hospital of Sun Yat-sen University were analyzed retrospectively. Results    All cases were operated on successfully and recovered uneventfully. The operating time was 76-162 (102±21)min. The length of incision was 4-8 (6.1±0.8)cm. The diameter of the hernia ring was 10-25 (15.5±3.2)cm and the size of hernia ring was 64-224(118.0±42.1)cm2. Missed hernia was detected in 7 cases (25%) intraoperatively and was repaired during the procedure. Postoperative complications included abdominal pain (n=8, 28.6%), abdominal distension (n=3, 10.7%), seroma (n=2, 7.1%) and hematoma (n=1, 3.6%). All of them were cured with conservative treatment. Postoperative hospital time was 3-13 (4.9±1.8) days. No patient developed wound infection, massive haemorrhage, intestinal injury or cardiorespiratory function failure. One recurrent case was observed during a mean (25.1±5.6) months follow-up period. Conclusion Hybrid technique for incisional hernia repair is a safe and effective procedure especially suitable for patients with large complicated hernias, which deserves to be popularized.