腹壁切口疝的TES手术治疗中术后并发症的预测与防治措施

李 鑫1, 董 晋2
1、青海大学医学院
2、青海大学附属医院普通外科三科

摘要


为探讨腹壁切口疝的TES手术治疗中术后并发症的预测与防治措施,文章先介绍TES手术基本原理、操作
及适应症、禁忌症,后阐述该手术常见术后并发症,包括术后感染、腹腔积液与血肿、神经损伤、疝复发等。分析
认为,针对不同并发症应采取相应预测与防治措施,如对于术后感染,需注重术前准备、术中无菌操作及术后抗感
染;腹腔积液与血肿要关注术中止血与引流;神经损伤重在熟悉解剖结构与精细操作;疝复发则需合理选择修补材
料及规范手术操作等,以降低并发症发生率,提升治疗效果。

关键词


腹壁切口疝;TES手术;术后并发症;预测;防治措施

全文:

PDF


参考


[1]陈炬莹,林肖鹰,何秋艳.腹壁切口疝修补术中

应用模型化与经验化布孔法的手术效果比较[J].深圳中西

医结合杂志,2024,34(14):63-66.

[2]张本跃,郑振华.杂交手术、腹腔镜手术和开放

手术治疗腹壁切口疝疗效和安全性对比[J].外科研究与新

技术,2023,12(01):18-21.

[3]邵煜奇,王敏娟.腹腔镜下腹壁切口疝的治疗及

并发症预防研究进展[J].中华疝和腹壁外科杂志(电子

版),2021,15(03):312-315.

[4]Li B, Qin C, Yu J, et al.Totally endoscopic sublay

(TES) repair for lateral abdominal wall hernias: technique and

first results[J].Hernia,2021,25(2):1-11.

[5]Wang M, Chen W, Chu X. Comparative analysis

of efficacy and quality of life between totally extraperitoneal

sublay and intraperitoneal onlay mesh repair for ventral hernia.

[J].Scientific reports,2025,15(1):3179.

[6]G B L, H D G, C J M, et al.[Totally endoscopic sublay

repair (TES)--a novel approach to repair midline ventral

hernia].[J].Zhonghua yi xue za zhi,2018,98(36):2933-2936.

[7]Permsak P, Tadatsugu M, Taweechok W, et al.Clinical

and oncologic outcomes of posterior only total en bloc

spondylectomy for spinal metastasis involving third lumbar

vertebra: A case series[J].Medicine,2024,103(5):e37145-.

[8]Huang W L, Zhong Y. Endoscopic submucosal

dissection vs transanal endoscopic surgery for rectal tumors:

A systematic review and meta-analysis.[J].World journal of

clinical cases,2024,12(1):195-106.

[9]Masayoshi H, Masayuki O, Yoshinori M, et al.Risk

Factors for Thromboembolic and Bleeding Events in Patients

After the Fontan Operation (Insights from the National

Database of Health Insurance Claims of Japan)[J].The

American Journal of Cardiology,2023,207399-406.

[10] W e n g a n g Z , N i n g l i C , H u i k a i L , e t

al.Cholangioscopy-assisted basket extraction of

choledocholithiasis through papillary support without

endoscopic sphincterotomy: a pilot exploration for super

minimally invasive surgery[J].VideoGIE,2023,8(6):232-234.

[11]Wei W, Wei Z, Jiongxi W, et al.An improved

total en bloc spondylectomy for L5 vertebral giant cell tumor

through a single-stage posterior approach.[J].European spine

journal: official publication of the European Spine Society, the

European Spinal Deformity Society, and the European Sectionof the Cervical Spine Research Society,2023,32(7):2503-

2512.

[12]Kevin P, Pope R, S S T, et al.A Propensity

Score-Matched Comparison of Perioperative Outcomes in

Prepectoral Smooth Versus Textured Tissue Expander Breast

Reconstruction.[J].Annals of plastic surgery, 2023,90(5S Suppl

3): S242-S251.

[13]Abiah J, Adeyemi C, Aleksandar S S. RoboticAssisted Thoracic Surgery Approach to Thoracic

Endometriosis Syndrome with Unilateral Diaphragmatic Palsy.

[J].Case reports in surgery,2023,20235493232-5493232.

[14]Ming L, Jun M. Clinical study of performing total

en bloc spondylectomy with conventional instruments[J].

Interdisciplinary Neurosurgery: Advanced Techniques and

Case Management,2022,30

[15]J R G G J, L R R, Ashley V. Quality indicators

for operative reporting in transanal endoscopic surgery.[J].

Canadian journal of surgery. Journal canadien de chirurgie,

2022, 65(5): E599-E604.

[16]GilSun H, Wook C L, Hee J L, et al.Clinical Impact

of a Quality Improvement Program Including Dedicated

Emergency Radiology Personnel on Emergency Surgical

Management: A Propensity Score-Matching Study.[J].Korean

journal of radiology,2022,23(9)


Refbacks

  • 当前没有refback。