CAJ | 학술논문

腹壁切口疝是腹部手术后的常见并发症，手术修补是治疗腹壁切口疝的唯一方法，从修补方式分其治疗包括自体组织修补，应用人工补片修补；随着微创技术的普及和发展，应用腹腔镜技术修补切口疝的比例在不断增加。对于特别巨大的腹壁切口疝一直以来对于疝修补是个巨大挑战，目前组织结构分离技术的应用可以治疗大部分患者。人工修补材料的选择和应用是另一巨大挑战，应用人工修补材料治愈了切口疝患者，而与应用人工材料相关的并发症也时有报道，如何选择和恰当的应用人工修补材料，也是疝外科关注的热点问题。
복벽절구산시복부수술후적상견병발증，수술수보시치료복벽절구산적유일방법，종수보방식분기치료포괄자체조직수보，응용인공보편수보；수착미창기술적보급화발전，응용복강경기술수보절구산적비례재불단증가。대우특별거대적복벽절구산일직이래대우산수보시개거대도전，목전조직결구분리기술적응용가이치료대부분환자。인공수보재료적선택화응용시령일거대도전，응용인공수보재료치유료절구산환자，이여응용인공재료상관적병발증야시유보도，여하선택화흡당적응용인공수보재료，야시산외과관주적열점문제。
Incisional hernia ( IH) is a common complication after abdominal operation .Surgical repairment is the only method to cure the incisional hernia , including suture of autologous tissue and repair with mesh.With the development of minimal invasive skills , more and more surgical repair operations are completed with laparoscopic skills .Repairment of massive incisional hernia remained a great challenge to surgeons.The components separation technique is an effective therapeutic method for most patients with incisional hernias .Optional prostheses with artificial mesh are another challenge in clinical application , including efficacy and complications .Much more attention should be paid to the clinical decision of operative precedures and application of artificial mesh .