摘要
腹壁巨大切口疝是腹部手术的常见并发症，手术是治疗切口疝的唯一有效方法。巨大切口疝围手术期应注意治疗局部病灶和预防应用抗生素，并注意评估患者疝内容物还纳后的耐受能力。疝：环难以关闭是巨大切口疝修补手术中的难点之一，而用腹壁分离技术关闭疝环是可行的。关闭疝环后，应使用生物材料进行补片修补。补片修补的手术方式很多，其中三明治修补术似乎更优越。本文主要对目前腹壁巨大切口疝的治疗进展作一综述。
Abodominal giant incisional hernia is the common complication of abdominal operations, and surgery is the only efficient treatment for it. It is important to treat the local complications, to use antibiotics and to assess the tolerance of increased intra-abdominal pressure before operation. Component separation technique is feasible to close the abdominal wall defect, which is one of the main difficulties in giant hernia repair. After that, mesh repair with biological materials is recommended to enhance the abdominal wall. Although mesh repair techniques diversi- fied, sandwich herniorrhaphy seems superior. This paper will analyse the present treatment progress of abdominal giant ineisional hernia.
出处
《国际外科学杂志》
2012年第7期481-484,共4页
International Journal of Surgery
关键词
腹壁
疝
外科手术
疝修补
Abdominal wall
Hernia
Surgical procedures, operative
Hernioplasty
