摘要：目的：探讨应用防粘连复合补片腹腔内平铺术治疗腹壁巨大切口疝的手术方法和临床效果。 方法： 回顾性分析我院11例应用防粘连复合补片腹腔内平铺术治疗腹壁巨大切口疝患者的临床资料。 结果： 11例患者均顺利完成手术，手术时间70～180 min，出血量50～200ml，术后住院时间7～14 d，2例患者术后有皮下积液，经穿刺抽吸治疗后治愈；5例患者术后1～3个月内手术修补区域腹壁疼痛，无其他严重并发症。11例患者术后随访10～26个月，未见复发。结论：应用防粘连复合补片治疗腹壁巨大切口疝是一种安全有效的手术方法，特别是腹腔镜辅助下IPOM能减少手术难度，缩短手术时间。

    关键词：防粘连复合补片； 切口疝； 疝修补术； IPOM

    Abstract：Objective： To investigate the methods and clinical results of the intraperitoneal onlay mesh (IPOM) repair with antisticking composite mesh for giant abdominal incisional hernia. Methods： The clinical data of 11 cases with giant abdominal incisional hernia treated by IPOM with antisticking composite mesh in our hospital from July 1992 to Oct. 2010 were analyzed retrospectively. Ruselts： All the 11 patients got successful operations. The operation time was 70～180 minutes. The bleeding was50~200ml during the operation. Hospitalization time after operation was 7～14d. Subcutaneous hydrops were observed in 2 pations witch cured by puncture treatment.Pain in the abdominal opration area were developed in 5 pations within 1 ~3 months after opration.There was no severe complications in all 11 pations. Recurrence was not found with a postoperative follow-up ranged from 10 months to 26 months.Conclusions:IPOM with antisticking composite mesh for giant abdominal incisional hernia was effective and safe. Laparoscopic-assisted IPOM can reduce the operative difficulty and shorten the operation time. ......