Department of Surgery, University of Bologna, Bologna, Italy.
Department of Surgery, Macerata Hospital, Macerata, Italy.
World J Emerg Surg. 2017 Aug 7;12:37. doi: 10.1186/s13017-017-0149-y. eCollection 2017.
Emergency repair of complicated abdominal wall hernias may be associated with worsen outcome and a significant rate of postoperative complications. There is no consensus on management of complicated abdominal hernias. The main matter of debate is about the use of mesh in case of intestinal resection and the type of mesh to be used. Wound infection is the most common complication encountered and represents an immense burden especially in the presence of a mesh. The recurrence rate is an important topic that influences the final outcome. A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bergamo in July 2013 with the aim to define recommendations for emergency repair of abdominal wall hernias in adults. This document represents the executive summary of the consensus conference approved by a WSES expert panel. In 2016, the guidelines have been revised and updated according to the most recent available literature.
复杂腹壁疝的急诊修补术可能与更差的预后和更高的术后并发症发生率相关。对于复杂腹壁疝的处理目前尚未达成共识。主要的争议点在于肠切除术后是否使用补片以及使用何种补片。感染是最常见的并发症,在存在补片的情况下尤其成问题。复发率是一个重要的影响预后的问题。世界急诊外科学会(WSES)于 2013 年 7 月在贝加莫召开了一次共识会议,旨在为成人腹壁疝的急诊修补术制定推荐意见。本文是 WSES 专家小组批准的共识会议执行摘要。2016 年,根据最新的文献资料对指南进行了修订和更新。