From the Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles; and Department of Plastic Surgery, The Ohio State University Wexner Medical Center.
Plast Reconstr Surg. 2018 Sep;142(3 Suppl):125S-132S. doi: 10.1097/PRS.0000000000004887.
Optimal skin and soft tissue management in complex open abdominal wall reconstruction is an integral element of the operation to achieve optimal outcomes. Failure to provide stable, well-vascularized soft tissue coverage over the hernia repair can jeopardize the reconstruction through association with nonhealing wounds, mesh exposure, and even possible hernia recurrence. The literature has shown that careful attention to the skin and soft tissue, especially when part of a multidisciplinary approach to complex abdominal wall reconstruction, improves patient outcomes significantly.
在复杂的开放性腹壁重建中，实现最佳效果的关键要素之一是进行最佳的皮肤和软组织管理。如果不能为疝修补提供稳定、血运良好的软组织覆盖，就会导致伤口不愈合、补片外露，甚至可能疝复发，从而使重建失败。文献表明，在复杂腹壁重建中采用多学科方法时，对皮肤和软组织给予细致的关注可显著改善患者的预后。
