重视腹壁疝术后并发症预防及处理

Emphasis on the prevention and treatment of postoperative complications of ventral hernia

腹壁疝手术的目的是修复腹壁缺损并恢复功能,而手术成功的基础是尽量避免手术后出现并发症。腹壁疝术后的常见并发症包括复发、手术部位感染、血清肿、精索并发症、神经并发症、腹腔器官损伤、腹腔内粘连和补片感染等,发生的原因不尽相同。通过建立技术培训制度、构建疝和腹壁外科的质量控制体系、建立疝病病人登记注册制度和不良事件报告制度等,有助于减少腹壁疝术后并发症发生,进一步提高我国疝和腹壁外科的诊疗水平。

The purpose of ventral hernia surgery is to repair both the defect and function of abdominal"wall.The successful operation is based on the postoperative complications reduction.The common postoperative complications of ventral hernia include recurrence,infection of operation site,seroma,spermatic cord complications,nerve complications,abdominal organ injury,intraperitoneal adhesion,mesh infection,etc.Their causes are different.Surgeons should further reduce the incidence of postoperative complications of ventral hernia by establishing technical training system,quality control system,registration system and adverse event reporting system in order to further improve the diagnosis and treatment level of hernia and abdominal wall surgery in China.