探讨腹腔镜下手术治疗腹壁切口疝的临床疗效，为该病的治疗提供理论依据。

回顾性分析2014年9月至2016年8月，武警边防部队总医院收治的55例行腹腔镜下腹壁切口疝修补术患者的临床资料，对患者术前进行积极准备；术后严密监测生命体征变化情况，积极预防相关并发症的发生，做好出院指导，观察患者术后治疗效果。

55例患者均经腹腔镜顺利完成手术，手术时间80～150 min，平均123 min，术中出血量20～80 ml，平均40 ml，术后住院时间4～10 d，平均5 d。术后出现浆液肿2例，经穿刺抽液后给予腹带包扎处理后治愈；腹胀4例，均于3 d内自行缓解；术区疼痛2例，给予止痛药治疗后缓解；切口感染2例，给予积极换药处理后治愈，患者术后均未出现腹腔间室综合征、肠管损伤等严重并发症。随访时间3～24个月，平均11个月，均未出现切口疝复发。

对腹壁切口疝患者给予积极的术前准备后实施腹腔镜微创手术是安全、可行的，可促进患者快速康复，降低相关并发症的发生及切口疝的复发，值得临床进一步推广。

To discuss the clinical efficacy of laparoscopic minimally invasive surgery for the treatment of abdominal incisional hernia.

The clinical data of 55 patients undergoing laparoscopic repair of abdominal incisional hernia in the General Hospital of Armed Police Frontier Garrison from September 2014 to August 2016 were retrospectively analyzed. The patients were actively prepared before operation, and the vital signs were closely monitored after operation. Complications prevention and discharge guidance were performed.

All operations were successfully completed. The operation time was 80 to 150 minutes, with an average of 123 minutes; the amount of intraoperative blood loss was 20 to 80 ml, with an average of 40 ml; and the hospitalization time was 4 to 10 days, with an average of 5 days. 2 cases of postoperative seroma occurred and cured after puncture and drainage; 4 cases of abdominal distension were released within 3 days; 2 cases of postoperative pain alleviated after treatment with analgesics; 2 cases of wound infection cured after dressing treatment. No serious complication was found, such as abdominal compartment syndrome, intestinal injury, etc. All patients were followed up for 3 to 24 months with an average of 1 month, without hernia recurrence.

Laparoscopic minimally invasive surgery for abdominal incisional hernia patients is safe and feasible after given active preoperative preparation. It can promote the rehabilitation of patients, and reduce the occurrence of incisional hernia complications and recurrence, and is worthy of further promotion.