Kingsnorth Andrew
Department of Surgery, Derriford Hospital, Plymouth, UK.
Ann R Coll Surg Engl. 2006 May;88(3):252-60. doi: 10.1308/003588406X106324.
Many thousand laparotomy incisions are created each year and the failure rate for closure of these abdominal wounds is between 10-15%, creating a large problem of incisional hernia. In the past many of these hernias have been neglected and treated with abdominal trusses or inadequately managed with high failure rates. The introduction of mesh has not had a significant impact because surgeons are not aware of modern effective techniques which may be used to reconstruct defects of the abdominal wall. This review will cover recent advances in incisional hernia surgery which affect the general surgeon, and also briefly review advanced techniques employed by specialist surgeons in anterior abdominal wall surgery.
每年都会有数千个剖腹手术切口，这些腹部伤口的愈合失败率在10%至15%之间，导致了很大的切口疝问题。过去，许多此类疝被忽视，采用腹带治疗，或处理不当，失败率很高。补片的引入并未产生显著影响，因为外科医生并不了解可用于重建腹壁缺损的现代有效技术。本综述将涵盖影响普通外科医生的切口疝手术的最新进展，并简要回顾专科外科医生在前腹壁手术中采用的先进技术。
