Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
In Vivo. 2019 Jul-Aug;33(4):1059-1066. doi: 10.21873/invivo.11574.
BACKGROUND/AIM: The occurrence of an incisional hernia after liver transplantation consists of a potential complication that may seriously affect the postoperative course and the quality of patient's life in general. The purpose of this study was to report the current epidemiological data, analyze the risk factors, evaluate the role of laparoscopic repair in this condition, and present the technical difficulties in the management of this special patient group.
A literature search was performed through PubMed. Our criteria included all studies published from March 1982 to February 2019 in English, regarding incisional post-transplant hernias and open or laparoscopic repair. Finally, we collected 19 relevant studies.
Incisional hernia may occur independently of the type of abdominal incision. Risk factors are both patient- and technique-related.
Well-organized randomized controlled studies are needed, in order to estimate the best treatment strategy for these patients.
背景/目的：肝移植术后切口疝的发生是一种潜在的并发症，可能会严重影响术后过程和患者的整体生活质量。本研究旨在报告当前的流行病学数据，分析相关风险因素，评估腹腔镜修复在这种情况下的作用，并阐述对这一特殊患者群体进行管理时所面临的技术难点。
通过 PubMed 进行文献检索。我们的纳入标准包括所有 1982 年 3 月至 2019 年 2 月期间发表的、有关移植后切口疝和开放或腹腔镜修复的英文研究。最终，我们共收集了 19 项相关研究。
切口疝的发生与腹部切口类型无关。风险因素既有患者相关的，也有技术相关的。
需要进行组织良好的随机对照研究，以便为这些患者估计最佳的治疗策略。
