Huerta Sergio, McAllister Jared, Phung Crystal, Guzzetta Angela A
VA North Texas Health Care System, Dallas, TX 75216, USA.
J Clin Med. 2025 Sep 7;14(17):6324. doi: 10.3390/jcm14176324.
On the spectrum of complexity for general surgery operations, umbilical hernia repair (UHR) is on the light side. After inguinal hernias, they are the most commonly repaired hernias and, as such, umbilical hernias are an important component of a general surgery practice. Since the time at which WJ Mayo published his seminal technique on the repair of umbilical hernias, multiple strategies for the management of umbilical hernias have emerged ranging from watchful waiting to open repair, as well as minimally invasive approaches. The present perspective maintains that each approach has its merits depending on the patient, surgeon, and institution. However, randomized controlled trials and clinical practice guidelines have favored some approaches over others. Similarly, recommendations have been developed regarding body mass index classification as well as hernia size for mesh placement. Other factors important to UHR are the choice of anesthesia and smoking cessation for elective repair. Though we do not contest well-designed randomized controlled trials (RTCs), or clinical guidelines, we offer our perspective on the care of these common hernias.
在普通外科手术的复杂程度范围内，脐疝修补术（UHR）属于较为简单的一类。仅次于腹股沟疝，脐疝是最常进行修补的疝，因此，脐疝是普通外科业务的重要组成部分。自威廉·詹姆斯·梅奥（WJ Mayo）发表其关于脐疝修补的开创性技术以来，出现了多种管理脐疝的策略，从观察等待到开放修补，以及微创方法。本文观点认为，每种方法都有其优点，这取决于患者、外科医生和医疗机构。然而，随机对照试验和临床实践指南更倾向于某些方法。同样，关于体重指数分类以及用于放置补片的疝大小也制定了相关建议。脐疝修补术中其他重要因素包括麻醉选择以及择期修补时的戒烟。虽然我们并不质疑精心设计的随机对照试验（RTCs）或临床指南，但我们提供我们对这些常见疝护理的观点。
