腹腔镜下腹壁切口疝修补术的治疗现状及展望

杜 柯君1, 刘 吾誉1, 戴 勇2
1、青海大学临床医学院
2、青海大学附属医院普通外科三科

摘要


腹壁切口疝（incisional hernia，IH）是腹部手术后常见并发症之一，发病率可达11%-20%不等[1，2]。随着
修补理念，微创技术和补片材料的更新迭代，腹腔镜腹壁切口疝修补术（laparoscopic ventral and incisional hernia，
LVIH）也在发展演变，呈现更加多元化的发展趋势。愈来愈多的人选择在腔镜下治疗IH，过去LVIH的经典术式为：
腹腔内补片植入术（intraperitoneal onlay mesh，IPOM），近些年各类微创非腹腔内补片修补术（（minimally invasive
non intraperitoneal mesh，MINIM）也层出不穷，本文将回顾现有文献，综述LVIH的治疗现状，并对未来的发展趋势
进行展望。

关键词


切口疝；腹腔镜；微创外科；sublay

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参考


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