sublay技术在腹外疝修补术中的应用  

Application of sublay technique in the repair of abdominal external hernia

作　　者：黄鹤光[1] 林荣贵[1] Huang Heguang;Lin Ronggui(Department of General Surgery,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院基本外科,福州350001

出　　处：《中华消化外科杂志》2020年第7期733-737,共5页Chinese Journal of Digestive Surgery

基　　金：福建省科技创新联合资金项目(2017Y9059);福建省微创医学中心项目(闽卫医政函[2017]171);福建省医学临床重点专科建设项目(闽财指[2012]649)。

摘　　要：腹外疝主要包括腹股沟疝、腹壁疝等,无张力修补术是成人腹外疝的主要治疗手术方式。sublay技术是腹外疝修补的理想技术,其将补片置于肌后、腹膜前间隙,修补可靠,疝复发率低,术后并发症少;补片不与腹腔脏器接触,可避免术后腹腔粘连等补片相关并发症发生。近年来,随着腹外疝修补理念的不断更新,疝与腹壁外科专家更倾向将腹壁问题留在腹壁层次解决。因此,sublay技术备受疝外科医师重视。基于sublay技术的各种新技术、新手术方式层出不穷,越来越广泛地应用于开放、腹腔镜或达芬奇机器人手术系统腹外疝修补术中。笔者总结sublay技术在腹股沟疝和腹壁疝修补术中的应用,介绍应用sublay技术治疗腹股沟疝和腹壁疝的经典手术和新手术,旨在推进腹外疝的规范治疗。Abdominal external hernia mainly includes inguinal hernia and ventral hernia.Tension-free repair is the main procedure for adult patients with abdominal external hernia.Sublay repair is an ideal technique for abdominal external hernia repair with the placement of mesh in the retromuscular or prepe-ritoneal space.Sublay repair provides a reliable repair with low incidence of recurrence and other postoperative complications.In addition,no direct contact between the mesh and abdominal organs effectively prevents mesh-related complications including intra-abdominal adhesion.In recent decades,as the update in the principles of abdominal external hernia repair,experts in hernia and abdominal wall surgery prefer to treat external hernia at the abdominal wall.Therefore,sublay technique attract more attention from hernia surgeons.New techniques and procedures based on sublay technique become more and more popular in external hernia repair,including open,laparoscopic and Da Vinci robotic operations.The authors summarize the application of sublay technique in the repair of inguinal and ventral hernias,introduce various types of procedures using sublay technique including classic and newly-developed procedures,aim to extend the standardized treatment of abdominal external hernia.

关 键 词：疝 腹股沟疝 腹壁疝 sublay技术 手术 修补 

分 类 号：R656.2[医药卫生—外科学]