Hernández-Granados Pilar, López-Cano Manuel, Morales-Conde Salvador, Muysoms Filip, García-Alamino Josep, Pereira-Rodríguez José Antonio
Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España; Sección de Pared Abdominal de la Asociación Española de Cirujanos, España.
Sección de Pared Abdominal de la Asociación Española de Cirujanos, España; Unidad de Pared Abdominal, Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España.
Cir Esp (Engl Ed). 2018 Feb;96(2):76-87. doi: 10.1016/j.ciresp.2018.01.003. Epub 2018 Feb 14.
Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved quality of life and cost savings. This narrative review intends to provide an update on incisional hernia and evisceration prevention. We analyze the current criteria for proper abdominal wall closure and the possibility to add prosthetic reinforcement in certain cases requiring it. Parastomal, trocar-site hernias and hernias developed after stoma closure are included in this review.
切口疝是一个非常常见的问题，据估计在所有剖腹手术中发生率约为15% - 20%。肠管脱出是另一个重要问题，发生率较低（2.5% - 3%），但对患者后果严重。由于能改善生活质量并节省成本，预防这两种并发症是正确治疗患者的基本目标。本叙述性综述旨在提供有关切口疝和预防肠管脱出的最新信息。我们分析了目前正确腹壁关闭的标准以及在某些需要的情况下添加人工补片加强的可能性。本综述包括造口旁疝、套管针穿刺部位疝以及造口关闭后发生的疝。
