Rudmik L R, Schieman C, Dixon E, Debru E
Department of Surgery, University of Calgary, Calgary, AB, Canada.
Hernia. 2006 Apr;10(2):110-9. doi: 10.1007/s10029-006-0066-6. Epub 2006 Feb 2.
Incisional hernia is a common long-term complication of abdominal surgery. Historically the open repair with or without mesh was the mainstay of treatment. However, many recently published laparoscopic repair studies have challenged surgeons to re-evaluate which technique provides the best short and long-term outcomes. A Medline search of all English-language literature was performed using the keywords 'incisional', 'ventral', 'hernia', 'laparoscopic', and 'open'. Further references were obtained by cross-referencing the bibliography in each paper. Current evidence suggests that the laparoscopic incisional hernia repair is the optimal surgical treatment. A laparoscopic repair appears to shorten hospital stay, decrease perioperative complication rates, and decrease recurrence rates. However, there is no randomized trial utilizing a standardized complication grading system making it difficult to draw a definitive conclusion as to which repair is best.
切口疝是腹部手术常见的长期并发症。从历史上看，有无使用补片的开放修补术一直是主要的治疗方法。然而，最近发表的许多腹腔镜修补术研究促使外科医生重新评估哪种技术能提供最佳的短期和长期疗效。使用关键词“切口的”“腹侧的”“疝”“腹腔镜的”和“开放的”对所有英文文献进行了医学文献数据库检索。通过交叉引用每篇论文的参考文献获取了更多文献。目前的证据表明，腹腔镜切口疝修补术是最佳的手术治疗方法。腹腔镜修补术似乎能缩短住院时间，降低围手术期并发症发生率，并降低复发率。然而，尚无使用标准化并发症分级系统的随机试验，因此很难就哪种修补术最佳得出明确结论。
