关键词: 腹壁疝, 疝复发, 个体化治疗, 补片材料, 围手术期管理, 手术技术

Abstract: Postoperative hernia recurrence remains a significant challenge, influenced by multidimensional factors including patient-specific characteristics, surgical techniques, mesh materials, and perioperative management. Patient-specific factors such as obesity, and smoking elevate recurrence risk through metabolic dysfunction and impaired tissue repair, necessitating preoperative weight loss, glycemic control, and smoking cessation. Technical factors emphasize fascial closure integrity and mesh selection in contaminated environments. Material science highlights optimal mesh sizing, drug-loaded coatings, and biomechanical compatibility. Perioperative management includes prehabilitation and digital recurrence prediction systems. Future directions require integrating multidimensional strategies for personalized therapy to minimize recurrence risk.

Key words: abdominal hernia, hernia recurrence, personalized therapy, mesh materials, perioperative management, surgical techniques