关键词: 腹腔镜, 腹壁, 切口疝, 疝修补术, 补片

Abstract:

Comtemporary isssues, controversies and solutions of laparoscopic treatment for incisional hernia        YUE Fei,LI Jian-wen. Gastrointestinal Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, and Shanghai Minimally Invasive Surgery Centre, Shanghai 200025,China
Corresponding author: LI Jian-wen, E-mail：ljw5@yeah.net  
Abstract    Laparoscopic inicisional hernia repair has witnessed a quarter century’s develeopment since its debut in 1993. The representative procedure IPOM has being expanded across the world rapidly due to simpler technique and less complications. With the optimization of defect closure and mesh fixation, and the breakthrough in boundary incisional hernias, laparoscopic incisional hernia repair become a well-acknowledged solution. As the consequences of material limitaions, intraperitoneal mesh related complications emerged with time goes by. Hernia specialists adjust the therapeutic strategy from intraperitoneal to extraperitoneal. However, the new techniques, such as MILOS and etc., are also encountering challenges and controversies. More clinical practice are still required for further evaluation.  

Key words: laparoscope, abdominal wall, incisional hernia, hernia repair, mesh