Sublay修补术的发展历程与展望

The development history and prospective of Sublay repair

20世纪60年代,两位法国外科医师开创Rives-Stoppa技术,补片放置层面即为目前外科界熟悉的Sublay修补术手术层面。历经半个多世纪的临床实践,大量循证医学证据指出:Sublay修补术已成为公认的开放修补术优选手术方式,其与微创入路的腹腔内补片修补术成为治疗腹壁切口疝的两大主流手术方式。随着微创概念的推广,腹腔镜技术的日益融合,当前的Sublay修补术正在不断衍生出多维发展方向。腹腔镜与Sublay修补术的融合已成为微创非腹腔内补片修补术的重要探索方向之一。笔者综合分析国内外研究进展,从历史、现状和未来3个方面介绍当前视角下的Sublay修补术。

The Rives-Stoppa technique was developed by two French surgeons in the 1960s and the plane where they placed the meshes is the plane in Sublay repair which is familiar to modern surgical community.After more than half a century of clinical practice,a large amount of evidence-based medical evidences indicate that the Sublay repair has become the recognized preferred surgical procedure in open repair.The Sublay repair as well as laparoscopic intra-peritoneal onlay mesh repair have become the two dominant procedures for the treatment of abdominal incisional hernia.With the deeply rooted concept of minimally invasive and the increasing integration of laparoscopic technique,the current Sublay repair is constantly deriving multi-dimensional development directions.Integration of laparoscopic technique and Sublay repair has become one of the important exploration directions of minimally invasive non-intraperitoneal mesh repair.The authors comprehensively analyze the research progress at home and abroad,and introduce the history,current status and prospective of Sublay repair.