正中胸骨切开术后剑突下切口疝：文献综述
Subxiphoid incisional hernias post median sternotomy: A literature review.
作者信息
Chan Jeremy, O'Hanlon James, McKenna Joshua, Oo Shwe
机构信息
Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Undergraduate Medicine, Swansea University Medical School, Swansea University, Swansea, UK.
出版信息
J Card Surg. 2021 Mar;36(3):1050-1055. doi: 10.1111/jocs.15261. Epub 2020 Dec 18.
BACKGROUND
Subxiphoid incisional hernias are one of the complications following a median sternotomy, a surgical procedure to provide access to the mediastinum. Incidence has been reported between 1% and 4%, although the true incidence is not well known due to its asymptomatic nature.
METHOD
A comprehensive search was performed on multiple sites. Keywords included "incisional hernia OR Subxiphoid hernia" AND "Median sternotomy OR Cardiac Surgery OR Coronary artery bypass graft OR Transplant OR Valve replacement". Articles up to August 1, 2020, were included in this study.
RESULTS
Eight articles were included in the study, with a total number of 132 patients identified. The incidence ranged from 0.81% to 3.44%. There was a mixture of repair methods and follow-up period reported. Recurrence post repair ranged from 10% to 43%.
CONCLUSION
Subxiphoid incisional hernias remain challenging to manage. We have discussed the incidence, risk factors, preventions, and management of subxiphoid incisional hernias including both the open and laparoscopic techniques.
背景
剑突下切口疝是正中开胸术后的并发症之一，正中开胸是一种用于进入纵隔的外科手术。尽管由于其无症状性，真实发病率尚不清楚，但已有报道称其发病率在1%至4%之间。
方法
在多个数据库进行了全面检索。关键词包括“切口疝或剑突下疝”以及“正中开胸或心脏手术或冠状动脉搭桥术或移植或瓣膜置换”。纳入了截至2020年8月1日的文章。
结果
该研究纳入了8篇文章，共确定了132例患者。发病率在0.81%至3.44%之间。报道的修复方法和随访时间各不相同。修复后的复发率在10%至43%之间。
结论
剑突下切口疝的处理仍然具有挑战性。我们讨论了剑突下切口疝的发病率、危险因素、预防措施以及处理方法，包括开放手术和腹腔镜技术。
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