Centre for Medical Imaging, University College London, Charles Bell House, 43-45 Floey Street, London, W1W TS, UK.
The Abdominal Wall Unit, Department of Surgery, University College Hospital, Euston Road, London, NW1 2BU, UK.
Eur Radiol. 2018 Aug;28(8):3560-3569. doi: 10.1007/s00330-018-5328-z. Epub 2018 Mar 12.
Complex ventral hernia (CVH) describes large, anterior, ventral hernias. The incidence of CVH is rising rapidly due to increasing laparotomy rates in ever older, obese and co-morbid patients. Surgeons with a specific interest in CVH repair are now frequently referring these patients for imaging, normally computed tomography scanning. This review describes what information is required from preoperative imaging and the surgical options and techniques used for CVH repair, so that radiologists understand the postoperative appearances specific to CVH and are aware of the common complications following surgery.
• Complex ventral hernia (CVH) describes large abdominal wall hernias (e.g. width ≥10cm). • CVH patients are being referred increasingly for preoperative and postoperative imaging. • Imaging is pivotal to characterise preoperative morphology and quantify loss of domain. • Postoperative imaging appearances are contingent on the surgical methods used for CVH repair. • Postoperative complications are depicted easily by imaging.
复杂的腹疝（CVH）是指大的、前腹、腹疝。由于在越来越多的老年、肥胖和合并症患者中，剖腹手术率不断上升，CVH 的发病率也在迅速上升。对 CVH 修复有特殊兴趣的外科医生现在经常为这些患者进行影像学检查，通常是计算机断层扫描。这篇综述描述了术前影像学需要哪些信息，以及 CVH 修复的手术选择和技术，以便放射科医生了解 CVH 的特定术后表现，并了解手术后常见的并发症。
复杂的腹疝（CVH）描述了大的腹壁疝（例如，宽度≥10cm）。
CVH 患者越来越多地接受术前和术后影像学检查。
影像学对术前形态学的特征和对缺损域的定量评估至关重要。
术后影像学表现取决于 CVH 修复所使用的手术方法。
术后并发症可以通过影像学轻易地显示出来。
