切换至 "中华医学电子期刊资源库"
高级检索
中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (01) : 21 -24. doi: 10.3877/cma.j.issn.1674-392X.2024.01.004

综述

复发性腹壁切口疝的研究进展
赵家劲1, 谢肖俊1,†()   
  1. 1. 515000　广东，汕头大学医学院第一附属医院疝与腹壁外科
  • 收稿日期:2023-08-05 出版日期:2024-02-18
  • 通信作者: 谢肖俊
  • 基金资助:
    广东省科技专项基金项目-国家、省自然科学基金项目培育专项(STKJ2021203)

Research progress of recurrent incisional hernia

Jiajing Zhao1, Xiaojun Xie1,†()   

  1. 1. Department of Hernia and Abdominal Wall Surgery, the First Affiliated Hospital of Shantou University Medical College, Guangdong 515000, China
  • Received:2023-08-05 Published:2024-02-18
  • Corresponding author: Xiaojun Xie
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

赵家劲, 谢肖俊. 复发性腹壁切口疝的研究进展[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(01): 21-24.

Jiajing Zhao, Xiaojun Xie. Research progress of recurrent incisional hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(01): 21-24.

腹壁切口疝是腹壁外科手术的一个重要并发症。随着普外科手术率的提高，腹壁切口疝的发生越来越常见。腹壁切口疝随着时间的推移，可出现如难复性疝、腹壁巨大疝、不完全性肠梗阻、嵌顿疝或者绞窄疝等情况。如处理不及时可能会严重影响患者的健康，甚至危及患者生命。而复发性切口疝约占所有切口疝的20%。因此，本文通过收集相关文献资料，分析切口疝复发的相关因素、复发性切口疝的前沿治疗理念，并且对其进行综述，旨在降低复发性切口疝的发生风险，为复发性切口疝的预防和治疗提供新思路。

关键词: 复发性切口疝, 影响因素, 治疗, 研究进展

Incisional hernia is a significant complication of abdominal wall surgery. With the increase in the rate of general surgical procedures, the occurrence of incisional hernias is becoming more frequent. Over time, an incisional hernia can lead to conditions such as irreducible hernia, giant abdominal wall hernia, partial intestinal obstruction, incarcerated hernia, or strangulated hernia. If not addressed promptly, these conditions can severely affect the patient's health and even be life-threatening. Recurrent incisional hernias account for approximately 20% of all incisional hernias. Therefore, our study aims to reduce the risk of recurrent incisional hernia occurrence by collecting relevant literature, analyzing the factors associated with incisional hernia recurrence, and reviewing the forefront treatment concepts for recurrent incisional hernias. This comprehensive review seeks to provide new insights for the prevention and treatment of recurrent incisional hernias.

Key words: Recurrent incisional hernia, Influence factor, Treatment, Research progress
[1]
中华医学会外科分会疝与腹壁外科学组, 中国医师协会外科分会疝和腹壁外科医师委员会. 腹壁切口疝诊断和治疗指南(2018版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(4): 241-243.
[2]
俞瑞东, 陈贞, 吴妮慧, 等. 高频腹壁震荡在腹壁切口疝手术后治疗中的应用价值[J]. 中国消化外科杂志, 2016, 15(10): 961-966.
[3]
熊伟. 腹壁切口疝人工合成补片修补术后血清肿的影响因素分析[D]. 合肥: 安徽医科大学, 2020.
[4]
Hoffmann H, Köckerling F, Adolf D, et al. Analysis of 4, 015 recurrent incisional hernia repairs from the Herniamed registry: risk factors and outcomes[J]. Hernia, 2021, 25(1): 61-75.
[5]
Berry MF, Paisley S, Low DW, et al. Repair of large complex recurrent incisional hernias with retromuscular mesh and panniculectomy[J]. Am J Surg, 2007, 194(2): 199-204.
[6]
Deerenberg EB, Timmermans L, Hogerzell DP, et al. A systematic review of the surgical treatment of the large incisional hernia[J]. Hernia, 2015, 19(1): 89-101.
[7]
Rosch R, Lynen-Jansen P, Junge K, et al. Biomaterial-dependent MMP-2 expression in fibroblasts from patients with recurrent incisional hernias[J]. Hernia, 2006, 10(2): 125-130.
[8]
Luijendijk RW, Hop WC, van den To MP, et al. A comparison of suture repair with mesh repair for incisional hernia[J]. Clinical Trial N Engl J Med, 2000, 343(6): 392-398.
[9]
Qandeel H, Chew C, Young D, et al. Subcutaneous and visceral adipose tissue in patients with primary and recurrent incisional hernia[J]. Hernia, 2022, 26(3): 953-957.
[10]
Bosanquet DC, Ansell J, Abdelrahman T, et al. Systematic review and meta-regression of factors affecting midline incisional hernia rates: analysis of 14, 618 patients[J]. PLoS One, 2015, 10(9): e0138745.
[11]
Weissler JM, Lanni MA, Hsu JY, et al. Development of a clinically actionable incisional hernia risk model after colectomy using the Healthcare Cost and Utilization Project[J]. J Am Coll Surg, 2017, 225(2): 274-284, e1.
[12]
Seo GH, Choe EK, Par KJ, et al. Incidence of clinically relevant incisional hernia after colon cancer surgery and its risk factors: a nation wide claims study[J]. World J Surg, 2018, 42(4): 1192-1199.
[13]
Köckerling F, Hoffmann H, Adolf D, et al. Potential influencing factors on the outcome in incisional hernia repair: a registry-based multivariable analysis of 22, 895 patients[J]. Hernia, 2021, 25(1): 33-49.
[14]
Parameswaran R, Hornby ST, Kingsnorth AN. Medical talc increases the incidence of seroma formation following onlay repair of major abdominal wall hernias[J]. Hernia, 2013, 17(4): 459-463.
[15]
van Veenendaal N, Poelman MM, van den Heuvel B, et al. Patient-reported outcomes after incisional hernia repair[J]. Hernia, 2021, 25(6): 1677-1684.
[16]
Köckerling F, Koch A, Lorenz R, et al. How Long Do We Need to Follow-Up Our Hernia Patients to Find the Real Recurrence Rate?[J]. Front Surg, 2015, 2: 24.
[17]
唐健雄, 李绍杰. 我国疝与腹壁外科发展现状与展望[J]. 中国普外基础与临床杂志, 2018,(12): 1409-1412.
[18]
李珠钰, 李绍杰, 李绍春, 等. 基于快速康复理念的医护联合模式在疝外科中的应用[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(6): 553-555.
[19]
Timmer AS, Claessen JJM, Atema JJ, et al. A systematic review and meta-analysis of technical aspects and clinical outcomes of botulinum toxin prior to abdominal wall reconstruction[J]. Hernia, 2021, 25(6): 1413-1425.
[20]
缪伎玄, 邹大中, 邵国益, 等. 超声引导下A型肉毒素注射在腹壁巨大切口疝治疗中的应用初探[J]. 中国临床医学影像杂志, 2021, (7): 510-512, 516.
[21]
Ramirez OM, Ruas E, Dellon AL. "Components separation" method for closure of abdominal-wall defects: an anatomic and clinical study[J]. Plast Reconstr Surg, 1990, 86(3): 519-526.
[22]
Kroese LF, Kleinrensink GJ, Lange JF, et al. External validation of the European Hernia Society classification for postoperative complications after incisional hernia repair: a cohort study of 2, 191 patients[J]. J Am Coll Surg, 2018, 226(3): 223-229.
[23]
杜宇, 侯清. 巨大腹壁疝修补术中应用主动减容手术对腹腔内高压及预后的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2019, 13(4): 365-368.
[24]
费阳, 李基业, 姚胜. 复合修补在下腹巨大切口疝患者腹壁重建中的应用[J]. 中国修复重建外科杂志, 2011, 25(4): 431-435.
[25]
王学虎, 赵渝. 腹腔镜腹壁切口疝修补术及并发症处理[J]. 外科理论与实践, 2018, 23(4): 302-305.
[26]
Toniato A, Pagetta C, Bernante P, et al. Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty[J]. Langenbecks Arch Surg, 2002, 387(5-6): 246-248.
[27]
Oprea V, Buia F, Gheorghescu D, et al. Chronic Mesh Infection after Incisional Hernia Repair. Factors Influencing Negative Outcomes of Complete Mesh Removal[J]. Chirurgia(Bucur), 2021, 116(3): 284-293.
[28]
Shukla VK, Mongha R, Gupta N, et al. Incisional hernia--comparison of mesh repair with Cardiff repair: an university hospital experience[J]. Hernia, 2005, 9(3): 238-241.
[29]
Briennon X, Lermite E, Meunier K, et al. Surgical treatment of large incisional hernias by intraperitoneal insertion of Parietex® composite mesh with an associated aponeurotic graft(280 cases)[J]. J Visc Surg, 2011, 148(1): 54-58.
[30]
赵育, 罗兵, 吴华锋. 复发性腹壁切口疝患者个体化手术分析[J]. 实用临床医药杂志, 2018, 22(19): 94-97.
[31]
Köckerling F. Recurrent Incisional Hernia Repair-An Overview[J]. Front Surg, 2019, 6: 26.
[32]
谢颂状. 复发性腹壁切口疝腹腔镜修补和Onlay修补治疗的对比研究[D]. 乌鲁木齐: 新疆医科大学, 2017.
[33]
戴晓冬, 黄鹤光, 陈燕昌, 等. 腹腔镜联合开腹补片修补术治疗腹壁切口疝的临床疗效[J]. 中华消化外科杂志, 2018, 17(11): 1090-1094.
[34]
McKinlay RD, Park A. Laparoscopic ventral incisional hernia repair: a more effective alternative to conventional repair of recurrent incisional hernia[J]. J Gastrointest Surg, 2004, 8(6): 670-674.
[35]
Manoharan S, Liu G, Trafford Crump T, et al. Incisional hernia repair surgery improves patient reported outcomes[J]. Am J Surg, 2020, 219(5): 874-878.
[36]
段妍西, 周建平. 腹壁切口疝术式选择的单中心回顾性研究[J]. 中国医科大学学报, 2022, 51(12): 1136-1139, 1149.
[37]
Abelló D, Martínez-Hoed J, Menéndez M, et al. Comparative analysis of 2 surgical techniques in the treatment of subxiphoid incisional hernia. Observational study[J]. Cir Esp(Engl Ed), 2021, 99(8): 578-584.
[38]
张建松, 侯森, 郑路敏. 腹腔镜联合开放手术治疗巨大腹壁切口疝患者的效果[J]. 中国民康医学, 2021, 33(13): 38-40.
[39]
李炳根. 内镜下全内脏囊分离技术:腹壁疝微创新理念[J]. 中华消化外科杂志, 2019, 18(11): 1022-1026.
[40]
庄波, 喻凯, 章志伟, 等. 完全内镜下内脏囊分离技术在腹壁疝治疗中的应用[J]. 中华医学杂志, 2021, 101(46): 3829-3832.
[41]
陈德望, 陈树标, 王鉴杰, 等. 阔筋膜张肌皮瓣移植在腹壁缺损修复重建的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(4): 285-288.
[42]
郭晨晨, 邵翔宇, 程韬, 等. 腹壁切口疝的发生及其预防措施[J/OL]. 中华疝和腹壁外科杂志(电子版), 2020, 14(2): 97-101.
[43]
曹耀权, 朱晒红, 朱利勇. 达芬奇机器人辅助下腹腔内补片植入术治疗腹壁切口疝[J]. 中华胃肠外科杂志, 2022, 25(10): 905-905.
[44]
LeBlanc KA, Gonzalez A, Dickens E, et al. Robotic-assisted, laparoscopic, and open incisional hernia repair: early outcomes from the Prospective Hernia Study[J]. Hernia, 2021, 25(4): 1071-1082.
[45]
何学元, 马建勋, 俞泽元. 腹壁切口疝并发肠梗阻的易感因素分析及治疗措施[J/OL]. 中华疝和腹壁外科杂志(电子版), 2020, 14(2): 160-163.
[1] 蒙礼娟, 麻艺群, 王璐, 张梦思, 范鑫, 许水淋, 杨丽红, 朱辉, 付晋凤. 采用SRT-100放射治疗儿童增生性瘢痕的临床疗效初探[J]. 中华损伤与修复杂志(电子版), 2024, 19(01): 16-23.
[2] 苏菲, 贾立群, 滕峰, 熊英, 高立伟, 张富强, 何凤娟, 夏莎莎, 刘春燕, 娄彦妮. 溃疡油联合复方维生素B12溶液外用防治放射性皮肤损伤的临床效果[J]. 中华损伤与修复杂志(电子版), 2024, 19(01): 51-56.
[3] 沈海龙, 张建国, 邵一阳, 周晓超, 郭春来, 匡哲. 局部进展期低位直肠癌伴侧方淋巴短径<10 mm新辅助治疗后TME+LLND术的临床研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(02): 192-195.
[4] 吴波, 郑永明, 杜世强. SPECT/CT及血清sTg水平预测甲状腺癌术后131I治疗患者淋巴结转移风险的价值分析[J]. 中华普外科手术学杂志(电子版), 2024, 18(02): 212-216.
[5] 陈静, 王晓玲, 安康. 老年进展期胃癌术后腹膜转移的相关因素及治疗进展[J]. 中华普外科手术学杂志(电子版), 2024, 18(02): 225-228.
[6] 吴文娟, 王小莉, 刘娟. 乳腺结节微创手术治疗进展研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(02): 229-232.
[7] 甄子铂, 刘金虎. 基于列线图模型探究静脉全身麻醉腹腔镜胆囊切除术患者术后肠道功能紊乱的影响因素[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 61-65.
[8] 任磊, 张瑞敏, 赵永祥. 隐睾患儿病因分析及临床诊疗进展[J]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(01): 100-104.
[9] 邓新军, 李正明, 李文彬. 广东省医学会泌尿外科疑难病例多学科会诊（第14期）——左肾原发恶性肿瘤并发于肺癌并脑转移[J]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(01): 114-117.
[10] 朱迎, 赵征, 许达, 陆录, 殷保兵. 免疫检查点抑制剂治疗肝细胞癌的进展与展望[J]. 中华肝脏外科手术学电子杂志, 2024, 13(01): 5-10.
[11] 张占国. 靶向免疫治疗时代的肝癌肝切除术再思考[J]. 中华肝脏外科手术学电子杂志, 2024, 13(01): 11-15.
[12] 张宇, 余灵祥, 杨永平, 赵德希, 刁广浩, 杨木易, 赵亮, 刘佳, 李鹏, 张宁, 任辉. 原发性肝癌Ⅲa期降期后肝切除临床疗效分析[J]. 中华肝脏外科手术学电子杂志, 2024, 13(01): 78-82.
[13] 严帅, 岳志强, 赵江华, 陈琳, 吴金柱. 初始不可切除肝癌患者靶向免疫联合治疗后手术切除临床疗效[J]. 中华肝脏外科手术学电子杂志, 2024, 13(01): 83-87.
[14] 冯军, 艾麦提·牙森, 梁润斌, 廖志洪, 赵超尘, 谢嘉奋, 朱灿华, 罗燕君, 汪国营. 肝癌肝移植术前应用PD-1抑制剂后发生急性排斥反应一例并文献复习[J]. 中华肝脏外科手术学电子杂志, 2024, 13(01): 88-92.
[15] 吕泉龙, 史文杰, 孙文国. 免疫检查点抑制剂在治疗转移性去势抵抗性前列腺癌中的研究进展[J]. 中华诊断学电子杂志, 2024, 12(01): 69-72.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号