Tong Winnie M Y, Hope William, Overby David W, Hultman Charles S
Division of Plastic Surgery, University of North Carolina, Chapel Hill, NC, USA.
Ann Plast Surg. 2011 May;66(5):551-6. doi: 10.1097/SAP.0b013e31820b3c91.
Component separation (CS) has been advocated as the technique of choice to reconstruct complex abdominal hernia defects, especially in the setting of gross contamination. However, open CS was reported to have relatively high incidences of wound complications. Minimally invasive approaches to CS were proposed by several surgeons to reduce wound morbidity. To date, there are limited comparative data between minimally invasive CS (MICS) versus open CS. In this article, we reviewed existing literature on open CS versus MICS with respect to their recurrence and complication rates. Our analysis appeared to show that MICS has comparable recurrence and complication rates relative to open CS although our analysis had several limitations. To demonstrate the management of complications after MICS, we reported our experience of using MICS to repair a recurrent incisional hernia in a 63-year-old man after a perforated ulcer.
成分分离术（CS）已被倡导为重建复杂腹部疝缺损的首选技术，尤其是在严重污染的情况下。然而，据报道开放性CS的伤口并发症发生率相对较高。几位外科医生提出了CS的微创方法以降低伤口发病率。迄今为止，微创CS（MICS）与开放性CS之间的比较数据有限。在本文中，我们回顾了关于开放性CS与MICS在复发率和并发症发生率方面的现有文献。我们的分析似乎表明，尽管我们的分析存在一些局限性，但MICS与开放性CS的复发率和并发症发生率相当。为了展示MICS术后并发症的处理，我们报告了我们使用MICS修复一名63岁男性在穿孔性溃疡后复发性切口疝的经验。
