Sharma Anil, Sinha Chaitanya, Baijal Manish, Soni Vandana, Khullar Rajesh, Chowbey Pradeep
Department of Minimal Access, Metabolic and Bariatric Surgery, Max Super Speciality Hospital, New Delhi, India.
J Minim Access Surg. 2021 Jan-Mar;17(1):7-13. doi: 10.4103/jmas.JMAS_146_19.
With increasing complexity of ventral incisional hernias being operated on, the treatment strategy has also evolved to obtain optimal results. Hybrid ventral hernia repair is a promising technique in management of complex/difficult ventral incisional hernias. The aim of this article is to review the literature and analyse the results of hybrid technique in management of ventral incisional hernia and determine its clinical status and ascertain its role. We reviewed the literature on hybrid technique for incisional ventral hernia repair on PubMed, Medline and Google Scholar database published between 2002 and 2019 and out of 218 articles screened, 10 studies were included in the review. Selection of articles was in accordance with the PRISMA guideline. Variables analysed were seroma, wound infection, chronic pain and recurrence. Qualitative analysis of the variables was carried out. In this systematic review, the incidence of complications associated within this procedure were seroma formation (5.47%), wound infections (6.53%) and chronic pain (4.49%). Recurrence was seen in 3.29% of patients. Hybrid ventral hernia repair represents a natural evolution in advancement of hernia repair. The judicious use of hybrid repair in selected patients combines the safety of open surgery with several advantages of the laparoscopic approach with favourable surgical outcomes in terms of recurrence, seroma and incidence of chronic pain. However, larger multi-centric prospective studies with long term follow up is required to standardise the technique and to establish it as a procedure of choice for this complex disease entity.
随着接受手术的腹侧切口疝复杂性的增加，治疗策略也在不断演变以获得最佳效果。混合式腹侧疝修补术是治疗复杂/困难腹侧切口疝的一种有前景的技术。本文旨在回顾文献并分析混合技术在腹侧切口疝治疗中的结果，确定其临床地位并明确其作用。我们在PubMed、Medline和谷歌学术数据库中检索了2002年至2019年间发表的关于混合技术用于腹侧切口疝修补的文献，在筛选的218篇文章中，有10项研究被纳入本综述。文章的选择符合PRISMA指南。分析的变量包括血清肿、伤口感染、慢性疼痛和复发。对这些变量进行了定性分析。在这项系统综述中，该手术相关并发症的发生率为血清肿形成（5.47%）、伤口感染（6.53%）和慢性疼痛（4.49%）。3.29%的患者出现复发。混合式腹侧疝修补术是疝修补术进展中的自然演变。在选定患者中明智地使用混合修补术，将开放手术的安全性与腹腔镜手术方法的若干优点相结合，在复发、血清肿和慢性疼痛发生率方面取得了良好的手术效果。然而，需要进行更大规模的多中心前瞻性长期随访研究，以规范该技术并将其确立为这种复杂疾病实体的首选手术方法。
