Hernia and Abdominal Wall Disease Center, Shanghai Jiao Tong University, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Department of Hernia Surgery, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, China.
Am J Surg. 2021 Jul;222(1):86-98. doi: 10.1016/j.amjsurg.2020.11.024. Epub 2020 Nov 17.
Surgical management of patients with ventral abdominal wall defects, especially complex abdominal wall defects, remains a challenging problem for abdominal wall reconstructive surgeons. Effective surgical treatment requires appropriate preoperative assessment, surgical planning, and correct operative procedure in order to improve postoperative clinical outcomes and minimize complications. Although substantial advances have been made in surgical techniques and prosthetic technologies, there is still insufficient high-level evidence favoring a specific technique. Broad variability in existing practice patterns, including clinical pre-operative evaluation, surgical techniques and surgical procedure selection, are still common.
With the purpose of providing a best practice algorithm, a comprehensive search was conducted in Medline and PubMed. Sixty-four surgeons considered as experts on abdominal wall defect repair and reconstruction in China were solicited to develop a Chinese consensus and give recommendations to help surgeons standardize their techniques and improve clinical results.
This consensus serves as a starting point to provide recommendations for adult ventral abdominal wall repair and reconstruction in China and may help build opportunities for international cooperation to refine AWR practice.
腹壁缺损患者，尤其是复杂腹壁缺损患者的外科治疗仍然是腹壁重建外科医生面临的一个挑战。为了改善术后临床结果并减少并发症，有效的手术治疗需要进行适当的术前评估、手术规划和正确的手术操作。尽管在外科技术和假体技术方面取得了实质性进展，但仍然缺乏支持特定技术的充分高级别证据。现有的实践模式存在广泛的差异，包括临床术前评估、手术技术和手术程序选择。
为了提供最佳实践算法，在 Medline 和 PubMed 中进行了全面搜索。邀请了 64 位被认为是腹壁缺损修复和重建专家的外科医生制定中国共识并提出建议，以帮助外科医生规范技术并改善临床结果。
本共识为中国成人腹侧腹壁修复和重建提供了建议，可能有助于为细化 AWR 实践提供国际合作机会。
