Feretis Michael, Orchard Philippa
Department of General Surgery, Nottingham University Hospitals, NHS Trust, Nottingham, UK.
Surg Laparosc Endosc Percutan Tech. 2015 Apr;25(2):100-5. doi: 10.1097/SLE.0000000000000114.
Open component separation (CS) has traditionally been a popular method for management of complex abdominal wall hernias. However, it has been associated with significant wound complications. The aim of this systematic review was to examine the evidence in the literature on modern CS techniques (endoscopic and minimally invasive) for the management of such hernias.
A systematic literature search was performed (2000 to 2013) using major electronic databases (PUBMED, EMBASE). The outcomes of interest were hernia recurrence rate and wound morbidity.
A total of 33 publications were retrieved. Thirteen studies involving in total 220 patients were included in this analysis. No randomised controlled trials were identified. The overall hernia recurrence and wound complication rates appear similar and in some studies superior to the results of open CS.
The initial results of the 2 more recent component separation techniques appear encouraging. However, better quality studies with longer follow-up are needed.
开放成分分离术（CS）传统上一直是治疗复杂腹壁疝的常用方法。然而，它与严重的伤口并发症相关。本系统评价的目的是审查文献中关于现代CS技术（内镜和微创）治疗此类疝的证据。
使用主要电子数据库（PUBMED、EMBASE）进行了系统的文献检索（2000年至2013年）。感兴趣的结果是疝复发率和伤口发病率。
共检索到33篇出版物。本分析纳入了13项研究，共涉及220例患者。未发现随机对照试验。总体疝复发率和伤口并发症发生率似乎相似，在一些研究中优于开放CS的结果。
两种最新成分分离技术的初步结果似乎令人鼓舞。然而，需要进行质量更高、随访时间更长的研究。
