中国实用外科杂志

中国实用外科杂志

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肥胖病人腹壁疝复发处理要点与难点

石和凯，唐健雄，顾    岩   

  1. 复旦大学附属华东医院普外科，上海 200040
  • 出版日期:2025-05-01

  • Online:2025-05-01

摘要： 肥胖合并复发性腹壁疝（RVH）病人的外科治疗是临床实践中必需面对的一大挑战。了解肥胖合并RVH病人的解剖与病理生理学特点，在进行术前准确评估及包括减重在内的充分术前准备基础上制定恰当的复发性腹壁疝修补术（RVHR）治疗方案，对于提高RVH治疗效果以及降低并发症发生率具有重要意义。肥胖RVHR的复杂性决定了该术式应该在具有丰富经验的疝与腹壁外科中心开展，新技术、新材料的应用将为未来RVHR治疗效果的进一步优化提供重要帮助。

关键词: 肥胖, 腹壁疝, 复发, 减重与代谢手术

Abstract: The treatment of obesity combined with recurrent ventral hernia (RVH) is a major challenge in clinical practice. Understanding the physiological characteristics of RVH in obesity patients and developing an appropriate recurrent ventral hernia repair (RVHR) strategy based on accurate preoperative evaluation and adequate preoperative preparation (including weight loss) are of great significance for improving the effectiveness of RVHR and reducing the risk of complications. The complexity of RVHR in obesity patients determines that it should be carried out by experienced hernia and abdominal wall surgeon teams. The application of new technologies and mesh will provide important help in further optimizing the results of RVHR in the near future.

Key words: obesity, recurrent ventral hernia, recurrence, bariatric and metabolic surgery