Department of Surgery, Baystate Medical Center, Springfield, MA 01199, USA; Tufts University School of Medicine, Boston, MA, USA.
Surg Clin North Am. 2013 Oct;93(5):1057-89. doi: 10.1016/j.suc.2013.06.017.
Umbilical and epigastric hernias are primary midline defects that are present in up to 50% of the population. In the United States, only about 1% of the population carries this specific diagnosis, and only about 11% of these are repaired. Repair is aimed at symptoms relief or prevention, and the patient's goals and expectations should be explicitly identified and aligned with the health care team. This article details some relevant and interesting anatomic issues, reviews existing data, and highlights some common and important surgical techniques. Emphasis is placed on a patient-centered approach to the repair of umbilical and epigastric hernias.
脐疝和腹上疝是中线上的先天性缺陷，在人群中的发生率高达 50%。在美国，仅有约 1%的人口有这种特定的诊断，而其中只有约 11%的人接受了修复手术。手术的目的是缓解症状或预防疾病，应明确患者的目标和期望，并与医疗团队保持一致。本文详细介绍了一些相关且有趣的解剖学问题，回顾了现有数据，并强调了一些常见且重要的手术技术。重点是采用以患者为中心的方法来修复脐疝和腹上疝。
