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中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (06) : 601 -606. doi: 10.3877/cma.j.issn.1674-392X.2024.06.001

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重视复杂腹壁疝手术并发症的预防和处理
嵇振岭1,2,(), 陈杰3,(), 唐健雄4,()   
  1. 1.210044 南京江北医院普通外科
    2.210009 南京,东南大学附属中大医院普通外科
    3.100044 北京大学人民医院疝和腹壁外科
    4.200040 上海,复旦大学附属华东医院普外科
  • 收稿日期:2024-10-28 出版日期:2024-12-18
  • 通信作者: 嵇振岭, 陈杰, 唐健雄

Attention should be paid to the prevention and management of complications of complex abdominal hernia surgery

Zhenling Ji1,2,(), Jie Chen3,(), Jianxiong Tang4,()   

  1. 1.Department of General Surgery, Nanjing Jiangbei Hospital, Nanjing 210044, China
    2.Department of General Surgery, Zhongda Hospital, Southeast University School of Medicine, Nanjing 210009, China
    3.Department of Hernia and Abdominal Wall Surgery, Peking University People's Hospital, Beijing 100044, China
    4.Department of General Surgery,Huadong Hospital, Fudan University, Shanghai 200040, China
  • Received:2024-10-28 Published:2024-12-18
  • Corresponding author: Zhenling Ji, Jie Chen, Jianxiong Tang
引用本文:

嵇振岭, 陈杰, 唐健雄. 重视复杂腹壁疝手术并发症的预防和处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 601-606.

Zhenling Ji, Jie Chen, Jianxiong Tang. Attention should be paid to the prevention and management of complications of complex abdominal hernia surgery[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 601-606.

复杂腹壁疝病情复杂,并发症多,治疗困难,具有挑战性。本文对复杂腹壁疝的定义、分级和分类进行了概述。提出了腹壁疝手术方式的演变规律,以及手术方法的选择原则。强调了复杂腹壁疝微观和宏观预防和处理措施。

The condition of complex abdominal wall hernia is complicated, with many complications, and the treatment is difficult and challenging.This article provides an overview of the definition, grading and classification of complex abdominal wall hernia.The evolution of the surgical methods of abdominal wall hernia and the selection principle of the surgical methods are presented.The prevention and management of complex abdominal hernia complications from micro and macro aspects are emphasized.

表1 2014 年Hernia 杂志对复杂腹壁疝的定义
表2 2015 年陈杰将10 种类型的疝列为复杂腹壁疝
表3 2024年欧洲疝学会对复杂切口疝的定义纳入的18 个变量
表4 Clavien-Dindo 手术并发症分级标准
表5 国际内镜疝学会切口疝指南列举的几种腹壁疝手术方法
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