Department of Surgery, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC 27514, USA.
The University of North Carolina at Chapel Hill, Department of Surgery, 160 Dental Circle, Burnett-Womack, CB #7228, Chapel Hill, NC 27599-7228, USA.
Surg Clin North Am. 2023 Oct;103(5):847-857. doi: 10.1016/j.suc.2023.04.021. Epub 2023 Jun 9.
Millions of laparotomies are performed annually, carrying up to a 41% risk of developing into a hernia. Incisional hernias are associated with morbidity, mortality, and costs; an estimated $9.6 billion is spent annually on repair of ventral hernias. Although repair is possible, surgeons must prevent incisional hernias from occurring. There is substantial evidence on surgical technique to reduce the risk of incisional hernia formation. This article aims to critically summarize the use of surgical technique and prophylactic mesh augmentation during fascial closure to inform decision-making and reduce incisional hernia formation.
每年都有数百万人接受剖腹手术，其中高达 41%的人有发展为疝气的风险。切口疝与发病率、死亡率和成本有关；据估计，每年用于修复腹侧疝的费用为 96 亿美元。虽然可以进行修复，但外科医生必须防止切口疝的发生。有大量关于手术技术的证据可以降低切口疝形成的风险。本文旨在批判性地总结筋膜关闭时使用手术技术和预防性网片增强的方法，以辅助决策并减少切口疝的形成。
