Dietz U A, Muysoms F E, Germer C T, Wiegering A
Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Deutschland.
Department for General, Thoracic and Cardiovascular Surgery, AZ Maria Middelares, Buitenring Sint-Denijs 30, 9000, Ghent, Belgien.
Chirurg. 2016 Apr;87(4):355-65; quiz 366-7. doi: 10.1007/s00104-016-0158-5.
Many publications are available on the best surgical techniques and treatment of incisional hernias with reports of experiences and randomized clinical studies at the two extremes of the evidence scale. The ultimate proof of the best operative technique has, however, not yet been achieved. In practically no other field of surgery are the variability and the resulting potential aims of surgery so great. The aim of surgery is to provide patients with the optimal recommendation out of a catalogue of possibilities from a holistic perspective. This article describes the surgical techniques using meshes for strengthening (in combination with an anatomical reconstruction) and for replacement of the abdominal wall (with bridging of the defect).
关于切口疝的最佳手术技术和治疗方法，有许多出版物，涵盖了证据等级两端的经验报告和随机临床研究。然而，尚未获得最佳手术技术的最终证据。在几乎没有其他外科领域中，手术的变异性和由此产生的潜在目标如此之大。手术的目的是从整体角度为患者提供一系列可能性中的最佳建议。本文介绍了使用补片加强腹壁（结合解剖重建）和替代腹壁（跨越缺损）的手术技术。
