Digestive Disease Center, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark,
Hernia. 2014 Aug;18(4):481-6. doi: 10.1007/s10029-014-1242-8. Epub 2014 Apr 13.
Although ventral incisional hernia (VIH) repair in patients is often evaluated in terms of hernia recurrence rate and health-related quality of life, there is no clear consensus regarding optimal operative treatment based on these parameters. It was proposed that health-related quality of life depends largely on abdominal muscle function (AMF), and the present review thus evaluates to what extent AMF is influenced by VIH and surgical repair.
The PubMed and EMBASE databases were searched for articles following a systematic strategy for inclusion.
A total of seven studies described AMF in relation to VIH. Five studies examined AMF using objective isokinetic dynamometers to determine muscle strength, and two studies examined AMF by clinical examination-based muscle tests.
Both equipment-related and functional muscle tests exist for use in patients with VIH, but very few studies have evaluated AMF in VIH. There are no randomized controlled studies to describe the impact of VIH repair on AMF, and no optimal surgical treatment in relation to AMF after VIH repair can be advocated for at this time.
尽管腹侧切口疝（VIH）修复术通常根据疝复发率和与健康相关的生活质量来评估，但基于这些参数，对于最佳手术治疗方法尚未达成明确共识。据提出，与健康相关的生活质量在很大程度上取决于腹部肌肉功能（AMF），因此本综述评估了 VIH 和手术修复对 AMF 的影响程度。
系统检索了 PubMed 和 EMBASE 数据库中的文章，以纳入标准进行筛选。
共有 7 项研究描述了与 VIH 相关的 AMF。其中 5 项研究使用客观等速测力计检查肌肉力量来评估 AMF，2 项研究通过临床检查为基础的肌肉测试评估 AMF。
目前既有用于 VIH 患者的设备相关的肌肉测试，也有功能相关的肌肉测试，但很少有研究评估 VIH 对 AMF 的影响。目前尚无描述 VIH 修复对 AMF 影响的随机对照研究，因此无法推荐 VIH 修复后与 AMF 相关的最佳手术治疗方法。
