Re-discussion on the comprehensive treatment strategy of complex ventral hernia from the perspective of intraperitoneal pressure / 中华外科杂志
Chinese Journal of Surgery
; (12): 451-455, 2023.
Article
in Zh
| WPRIM
| ID: wpr-985782
Responsible library:
WPRO
ABSTRACT
Complex ventral hernia refers to a large hernia that is complicated by a series of concurrent conditions. Change in intra-abdominal pressure is one of the main pathways through which various factors exert an impact on perioperative risk and postoperative recurrence. Taking abdominal pressure reconstruction as the core, the treatment strategy for complex abdominal hernia can be formulated from three aspects improving patients' tolerance, expanding abdominal cavity volume, and reducing the volume of abdominal contents. Improving patients' tolerance includes abdominal wall compliance training and progressive preoperative pneumoperitoneum. To expand the volume of the abdominal cavity, implanting hernia repair materials, component separation technique, autologous tissue transplantation, component expend technique, and chemical component separation can be used. Initiative content reduction surgery and temporary abdominal closure may be performed to reduce the volume of abdominal contents. For different cases of complex ventral hernia, personalized treatment measures can be safely and feasibly adopted depending on the condition of the patients and the intra-abdominal pressure situation.
Full text:
1
Index:
WPRIM
Main subject:
Recurrence
/
Surgical Mesh
/
Plastic Surgery Procedures
/
Abdominal Wall
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Herniorrhaphy
/
Hernia, Ventral
Limits:
Humans
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2023
Type:
Article