加强腹壁腹横筋膜组织在预防腹外疝术后并发症的研究进展

Research Progress of Strengthening Transverse Fascia of Abdominal Wall in Preventing Postoperative Complications of External Abdominal Hernia

腹股沟疝修补术后早期出现血清肿一直是最常见的并发症,虽然血清肿的形成通常是自限性,大多数可自行吸收,但血清肿的形成会导致患者不满意、美观不良和严重的手术部位感染。因此,许多外科医生正在探索围手术期策略,以帮助减少血清肿的发生率。目前术中干预措施种类较多,且各有优劣,我们进行了一项系统的综述,参考国内外随机对照试验中可用的证据,阐明加强腹壁组织在预防腔镜疝术后血清肿的有效性及安全性。

Early seroma after inguinal hernia repair has always been the most common complication. Alt-hough the formation of seroma is usually self-limited and most of it can be absorbed by itself, the formation of seroma will lead to patients’ dissatisfaction, poor appearance and serious surgical site infection. Therefore, many surgeons are exploring perioperative strategies to help reduce the inci-dence of seroma. At present, there are many kinds of intervention measures during operation, and each has its own advantages and disadvantages. We made a systematic review, referring to the evi-dence available in randomized controlled trials at home and abroad, and expounded the effective-ness and safety of strengthening abdominal wall tissue in preventing seroma after laparoscopic hernia operation.