巨大腹壁缺损伴腹壁功能不全外科治疗

Surgical treatment of large abdominal wall defect with loss of domain

如何对巨大腹壁缺损伴腹壁功能不全(LOD)病人进行腹壁缺损的修复与重建至今仍是困扰腹壁外科医生的一大难题。了解LOD发病机制、准确进行术前评估及充分的术前准备是LOD病人手术成功的保证。植入材料加强修补技术是LOD病人治疗的基础,基于植入材料的组织结构分离技术或自体组织移植技术为LOD病人成功进行腹壁重建提供了重要帮助。

Repair and reconstruction of large abdominal wall defects with loss of domain （LOD） is still a challenge to most of the abdominal wall surgeons. Understanding of the pathogenesis, an initial assessment and comprehensive preoperative preparation are essential for the successful treatment of patients with LOD. Prosthetic mesh reinforcement should be regarded as the essential surgical technique and components separation or tissue grafts based on prosthetic mesh reinforcement will provide significant assistances for abdominal repair and reconstruction to patients of large abdominal wall defects with LOD.