Abstract:

Ventral hernia is a common surgical disease and complex ventral hernia usually refers to a hernia that is large or/and that has complications which can seriously affect the effectiveness of treatment. With the increasing prevalence of both obesity and abdominal surgery, the incidence of complex ventral hernia is on the rise. Complex ventral hernia is difficult to deal with, since it often combines with other complications such as infection, abdominal adhesion and intestinal obstruction. And it is of high incidence to relapse after surgery. Ultrasonography can assist in the diagnosis of the occurrence of ventral hernia. It can also evaluate the size and scope of the ventral hernia and the adjacency relationship with the surrounding tissues before surgery, so as to provide accurate positioning information about the ventral hernia, which is of great importance for the surgery. At the same time, ultrasonography can also monitor the complications of complex ventral hernia during the perioperative period so the necessary intervention can be adopted in a timely manner. In addition, new techniques such as ultrasound-guided botulinum toxin injection, ultrasound-guided hydro-dissection and ultrasound-guided transversus abdominis plane block are helpful and provide new therapeutic techniques for the treatment of complex ventral hernia.

Key words: Hernia, ventral, Complex ventral hernia, Ultrasonography, Ultrasound-guided adjuvant therapy