2017 年 WSES 复杂腹壁疝急诊修复指南更新版。
2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias.
机构信息
Department of Surgery, University of Bologna, Bologna, Italy.
Department of Surgery, Macerata Hospital, Macerata, Italy.
出版信息
World J Emerg Surg. 2017 Aug 7;12:37. doi: 10.1186/s13017-017-0149-y. eCollection 2017.
Abstract
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.
摘要
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。
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本文引用的文献
1
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Surgery. 2016 Nov;160(5):1379-1391. doi: 10.1016/j.surg.2016.06.027. Epub 2016 Aug 16.
2
Polypropylene-based composite mesh versus standard polypropylene mesh in the reconstruction of complicated large abdominal wall hernias: a prospective randomized study.
Hernia. 2016 Oct;20(5):691-700. doi: 10.1007/s10029-016-1526-2. Epub 2016 Aug 9.
3
The Use of Mesh in Emergent Ventral Hernia Repair: Effects on Early Patient Morbidity and Mortality.
J Gastrointest Surg. 2016 Nov;20(11):1899-1903. doi: 10.1007/s11605-016-3207-y. Epub 2016 Jul 25.
4
Emergency inguinal hernia repair under local anesthesia: a 5-year experience in a teaching hospital.
BMC Anesthesiol. 2016 Mar 19;16:17. doi: 10.1186/s12871-016-0185-2.
5
Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome.
Curr Opin Crit Care. 2016 Apr;22(2):174-85. doi: 10.1097/MCC.0000000000000289.
6
Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study).
World J Emerg Surg. 2015 Dec 16;10:61. doi: 10.1186/s13017-015-0055-0. eCollection 2015.
7
Suture, synthetic, or biologic in contaminated ventral hernia repair.
J Surg Res. 2016 Feb;200(2):488-94. doi: 10.1016/j.jss.2015.09.007. Epub 2015 Sep 9.
8
Abdominal compliance: A bench-to-bedside review.
J Trauma Acute Care Surg. 2015 May;78(5):1044-53. doi: 10.1097/TA.0000000000000616.
9
Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study.
Hernia. 2015 Dec;19(6):909-14. doi: 10.1007/s10029-015-1360-y. Epub 2015 Mar 3.
10
Active Negative Pressure Peritoneal Therapy After Abbreviated Laparotomy: The Intraperitoneal Vacuum Randomized Controlled Trial.
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