组织结构分离技术对降低巨大腹壁切口疝术后复发率的临床价值

Clinical value of component separation technology reducing postoperative recurrence after giant abdominal wall incisional herniorrhaphy

如何有效修复重建巨大腹壁切口疝，降低术后复发率，一直是困扰疝与腹壁外科医师的难题。基于补片加强修补术的组织结构分离技术不仅在解剖上，还能在功能上实现对巨大腹壁切口疝的有效修复重建，患者术后复发率显著低于单纯缝合和补片桥接修补术。规范施行组织结构分离技术对改善巨大腹壁切口疝治疗效果具有重要作用。

How to repair and reconstruct giant abdomi- nal wall incisional hernia effectively, is still a difficult problem for surgeons of hernia and abdominal wall surgery. Component separation technology based on mesh reinforcement provides an excellent method to repair and reconstruct giant abdominal wall incisional hernia in anatomy and function, and possesses an lower recurrence rate than primary suture and bridged mesh repair. Standardized component separation technology plays an important role in improving the therapeutic effect of giant abdo- minal wall ineisional hernia.