Millikan Keith W
Department of General Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1650 West Harrison Street, Chicago, IL 60612-3800, USA.
Surg Clin North Am. 2003 Oct;83(5):1223-34. doi: 10.1016/S0039-6109(03)00129-4.
Incisional ventral hernias are a common problem encountered by surgeons, with over 100,000 repairs being performed annually in the United States. Although many predisposing factors for incisional ventral hernia are patient-related, some factors such as type of primary closure and materials used may reduce the overall incidence of incisional ventral hernia. With the advent of prosthetic meshes being used for incisional ventral hernia repair, the recurrence rate has dropped to approximately 10%. More recently, with the development of prosthetic mesh that is now safe to place intraperitoneally, the recurrence rate has dropped to under 5%. The current controversies that exist for incisional ventral hernia repair are which approach to use (open versus laparoscopic) and what type of fixation (partial- versus full-thickness abdominal muscular/fascial wall) is necessary to stabilize the position of the mesh while tissue ingrowth occurs. During the next decade the answers to these controversies should be available in the surgical literature.
切口疝是外科医生常遇到的问题，在美国每年有超过10万例修复手术。虽然切口疝的许多诱发因素与患者相关，但一些因素，如一期缝合的类型和使用的材料，可能会降低切口疝的总体发生率。随着人工合成补片用于切口疝修补，复发率已降至约10%。最近，随着现在可安全放置于腹腔内的人工合成补片的发展，复发率已降至5%以下。目前切口疝修补存在的争议是采用哪种方法（开放手术与腹腔镜手术）以及在组织长入时需要何种固定方式（部分厚度与全层腹壁肌肉/筋膜壁）来稳定补片位置。在未来十年，这些争议的答案应该会出现在外科文献中。
