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中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (06) : 616 -619. doi: 10.3877/cma.j.issn.1674-392X.2024.06.004

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复杂腹壁疝手术中血管损伤并发症的预防和处理
王学虎1, 赵渝1,()   
  1. 1.400016 重庆医科大学附属第一医院血管外科
  • 收稿日期:2024-10-28 出版日期:2024-12-18
  • 通信作者: 赵渝
  • 基金资助:
    重庆市科卫联合医学科研项目(2019MSXM057)

The prevention and treatment of vascular injury complications in complicated abdominal wall hernia surgery

Xuehu Wang1, Yu Zhao1,()   

  1. 1.Department of Vascular Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Received:2024-10-28 Published:2024-12-18
  • Corresponding author: Yu Zhao
引用本文:

王学虎, 赵渝. 复杂腹壁疝手术中血管损伤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): 616-619.

Xuehu Wang, Yu Zhao. The prevention and treatment of vascular injury complications in complicated abdominal wall hernia surgery[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 616-619.

复杂腹壁疝的手术难度较常规腹壁疝显著增高,原因包括疝区域的多次手术史、多次复发、巨大疝或伴发感染等。血管损伤在这些手术中的发生率显著升高。血管损伤不仅直接导致术中出血、失血性休克、死亡,还可能引发术后血肿、血管栓塞等。因此掌握复杂腹壁疝的特点和血管损伤的高危因素、容易出现的部位、手术相关区域的血管解剖,做好血管的保护和辨认,并在术前做好风险评估、术中采取有效的预防和术后及时处理,对于减少血管损伤并发症有重要意义。

Complex abdominal wall hernias represent a significant challenge in hernia surgery,primarily due to factors such as multiple prior surgeries in the hernia area, recurrent hernias, giant hernias,or associated infections.The incidence of vascular injury is notably higher in these surgeries.Vascular injury can directly lead to intraoperative bleeding, hemorrhagic shock, and even death, and may also result in postoperative complications such as hematomas and vascular embolism.Therefore, it is crucial to understand the characteristics of complex abdominal wall hernias, identify the high-risk factors for vascular injury, recognize the common sites of injury, and be familiar with the vascular anatomy of the surgical region.Proper protection and identification of vessels, along with preoperative risk assessment, effective intraoperative prevention, and timely postoperative management, are essential for reducing the incidence of vascular injury and its associated complications.

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