可吸收补片在腹股沟疝修补术中的应用

Application of absorbable mesh in inguinal hernia repair

疝外科学的发展推动了材料学的进步,目前临床上充斥着各种各样的疝修补材料。可吸收补片作为一种新的腹股沟疝修补材料,特别是部分可吸收补片,短短十余年时间,逐渐得到了全球外科医师的认可,在临床上的应用呈现增长的趋势。其中生物补片的出现,因其在材料工艺上的进步,无疑给腹股沟疝修补技术的发展带来了福音。然而随着大量临床研究的深入,生物补片在腹股沟疝修补术后的远期疗效方面受到较多质疑。近年来,随着材料学的飞速发展,合成可吸收补片的出现,因其更少的副作用而逐渐引起外科医师的注意,但合成可吸收补片的应用是否真正使病人利益最大化,目前尚缺乏多中心、前瞻性的大量临床随机对照研究。因此,在腹股沟疝手术过程中如何选择一种合适的补片,成了外科医师治疗腹股沟疝的最大难题之一。本文就近年来可吸收补片的进展加以综述。

The development of hernia surgery science has promoted the advancement of materials science.At present,there are a variety of inguinal repair materials.Absorbable mesh especially partially absorbable mesh that is a new inguinal hernia repair material,has been favored by surgeons.In particular,the emergence of biologic mesh has brought the gospel because of its advances in material technology.The question is raised on Long-term effect of biological mesh in postoperative.With rapid development of materials,the surgeon’s is attracted by synthetic absorbable mesh because it has more fewer side effects then other.However,whether to truly maximize the benefits of patients,it is still a lack of multi-center,prospective clinical randomized controlled trials to confirm.It is a difficult choice how to choose a suitable mesh for inguinal hernia surgery for surgeons.This is a review of the progress of research on absorbable mesh in recent years.