腹壁疝腹腔镜下补片修补术治疗的研究进展

Research Progress on the Laparoscopic Mesh Repair for Ventral Hernia

腹壁疝是指腹腔内容物经腹壁的缺损、筋膜薄弱等处向外突出于体表局部形成的肿块,目前只有手术治疗可从根本解决。随着材料学、麻醉学等发展,其手术方式也经由开放手术逐步进展为微创腔镜手术,目前较主流手术方式为腹腔镜下腹腔内补片修补术(IPOM),同时如腹壁疝腹腔镜下完全腹膜外修补术(TES)等新型手术方式也在不断被探索完善,但目前相关实验研究数量相对较少且相关数据诸如手术适应症、术后并发症等不同研究均存在争议,故该文就腹壁疝腹腔镜下补片修补术的最新进展进行综述。

Ventral hernia was defined as a mass formed when the abdominal contents protrude from the body surface through the abdominal wall defects and fascia weakness. Once abdominal hernia is found, only surgical treatment can solve it. With the development of materials science and anesthesiology, the surgical method has also progressed to minimally invasive laparoscopic surgery through open surgery. At present, the mainstream surgical method is laparoscopic intraperitoneal onlaymesh repair (IPOM);meantime, new surgical methods such as laparoscopic total extraperitoneal sublay repair (TES) for abdominal wall hernia are also being explored and improved. However, at present, the number of relevant experimental studies is relatively small, and data such as surgical indica-tions, postoperative complications are controversial, so this article reviews the latest progress of laparoscopic mesh repair for ventral hernia.