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切口疝复发处理中的陷阱及对策

吴立胜

中国实用外科杂志2025,Vol.45Issue(5):525-528,4.
中国实用外科杂志2025,Vol.45Issue(5):525-528,4.DOI:10.19538/j.cjps.issn1005-2208.2025.05.10

切口疝复发处理中的陷阱及对策

Pitfalls and strategies in the management of recurrent incisional hernias

吴立胜1

作者信息

  • 1. 中国科学技术大学附属第一医院(安徽省立医院)疝及肥胖外科,安徽 合肥 230001
  • 折叠

摘要

Abstract

The surgical management of recurrent incisional hernias remains a significant challenge in the field of abdominal wall surgery,with numerous pitfalls arising from patient-related factors,surgical technique selection,material application,and perioperative management.Studies indicate that the primary causes of recurrence include underlying patient conditions(e.g.,obesity,diabetes),inadequate defect closure,inappropriate mesh selection,failure in infection control,and postoperative intra-abdominal pressure management negligence.Key pitfalls include overreliance on a single surgical approach,neglect of individualized assessment,mismatched anatomical layering and material selection,and insufficient postoperative rehabilitation guidance.By integrating multidisciplinary collaboration,optimizing preoperative evaluation protocols,standardizing mesh selection,and strengthening postoperative follow-up,recurrence rates can be significantly reduced.

关键词

复发/切口疝/手术治疗/对策

Key words

recurrence/incisional hernia/surgical treatment/strategies

分类

临床医学

引用本文复制引用

吴立胜..切口疝复发处理中的陷阱及对策[J].中国实用外科杂志,2025,45(5):525-528,4.

基金项目

Fundamental Research Funds for the Central Universties(No.WK2340000111) 中央高校基本科研业务费专项项目(No.WK2340000111) (No.WK2340000111)

中国实用外科杂志

OA北大核心

1005-2208

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