Cleveland Clinic Foundation, 9500 Euclid Avenue, A100, Cleveland, OH 44195, USA.
Cleveland Clinic Foundation, 9500 Euclid Avenue, A100, Cleveland, OH 44195, USA.
Surg Clin North Am. 2021 Oct;101(5):875-888. doi: 10.1016/j.suc.2021.07.001.
This article reviews evidence-based techniques for abdominal closure and management strategies when abdominal wall closures fail. In particular, optimal primary fascial closure techniques, the role of prophylactic mesh, considerations for combined hernia repair, closure techniques when the fascia cannot be closed primarily, and management approaches for fascial dehiscence are reviewed.
本文回顾了腹部闭合的循证技术和腹壁闭合失败时的管理策略。特别讨论了最佳的原发性筋膜闭合技术、预防性补片的作用、联合疝修补术的注意事项、无法进行原发性筋膜闭合时的闭合技术，以及筋膜裂开的处理方法。
