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腹壁疝修补术中腹腔内补片修补术与腹膜外修补术的选择

黄铂涵 曹桢 刘子文

外科理论与实践2026,Vol.31Issue(1):17-22,6.
外科理论与实践2026,Vol.31Issue(1):17-22,6.DOI:10.16139/j.1007-9610.2026.01.04

腹壁疝修补术中腹腔内补片修补术与腹膜外修补术的选择

Contemporary perspectives on intraperitoneal Onlay mesh versus extraperitoneal repair in ventral hernia repair

黄铂涵 1曹桢 1刘子文1

作者信息

  • 1. 中国医学科学院北京协和医学院北京协和医院基本外科,北京 100730
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摘要

Abstract

Ventral hernias are most commonly of primary ventral hernia and incisional hernia.Over the past two decades,significant advancements have been made in their surgical management.With the development of minimally invasive techniques and mesh materials,intraperitoneal Onlay mesh(IPOM)repair has emerged and been widely adopted.However,due to the continuous emergence of its specific complications,academic skepticism regarding this approach has arisen.Consequently,open Sublay repair and laparoscopic extraperitoneal repair have regained attention.This article systematically compared these techniques in terms of technical evolution,clinical efficacy,and complication profiles,objectively analyzing their respective advantages and limitations.It provided theoretical foundations and practical guidance for surgeons in selecting repair strategies,and promoted the standardization and individualized treatment concepts in clinical practice.

关键词

疝修补术/腹膜外修补/腹腔内补片修补术/腹腔镜/机器人

Key words

Herniorrhaph/Extraperitoneal repair/Intraperitoneal Onlay mesh(IPOM)/Laparoscopy/Robot

分类

医药卫生

引用本文复制引用

黄铂涵,曹桢,刘子文..腹壁疝修补术中腹腔内补片修补术与腹膜外修补术的选择[J].外科理论与实践,2026,31(1):17-22,6.

基金项目

国家自然科学基金(81572459) (81572459)

北京市自然科学基金(7202164) (7202164)

外科理论与实践

1007-9610

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