中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (12): 1063-1068.

• 国际疝外科精粹 • 上一篇    下一篇

疝修补术:寻找理想的网片

Bringman S1,Conze J2,Cuccurullo D3,Deprest J4,Junge K5,Klosterhalfen B6,Parra-Davila E7,Ramshaw B8,Schumpelick V9   

  • 出版日期:2010-12-01 发布日期:2010-11-25

  1. 1 Department of Surgery, Clintec, Karolinska Institutet, Södertälje Hospital, 152 86 Södertälje, Sweden;2 Chirurgische Universitatskliniku,Poliklinik der RWTH Aachen,Pauwelsstrasse 30,52074 Aachen,Germany; 3 Department of General and Laparoscopic Surgery,  Monaldi Hospital, Via Cilea 136, 80127 Naples, Italy; 4 Pelvic Floor Unit, University Hospital Gasthuisberg,Katholieke Universiteit Leuven, 3000 Leuven, Belgium; 5 Department of Surgery, RWTH Aachen, University Hospital Aachen, Pauwelsstraße 30, 52074 Aachen,Germany; 6 Institut fur Pathologie, Krankenhaus Duren gem. GmbH,  Roonstrasse 30, 52351 Duren, Germany; 7 Surgical Associates of Palm Beach County, 800 Meadows Road, Boca Raton, FL 33486, USA; 8 Division of General Surgery, University of Missouri, MC4144 McHaney Hall, Columbia, MO 655212, USA; 9 Department of Surgery, Medical Faculty, Rheinish-Westphalian Technical University, 52074 Aachen, Germany
  • Online:2010-12-01 Published:2010-11-25

摘要:

要做到有效的网片修补是困难的。在过去的50年中,疝修补技术有了长足的进步,但仍然需要一些新的观念和方法来巩固疝修补术已经取得的成绩。在欧洲疝学会第30次国际大会上,疝修补术及网片试验评估领域的9名专家共同参加了一次圆桌会议,讨论当今疝修补术中亟待解决的问题;内容包括“理想”网片的定义及“理想”的网片材料。讨论的其他内容还包括轻量型网片的特点,网片替代物,外科医生在疝修补术中的作用,当今疝修补术中亟待解决的问题,以及最佳的动物试验模型。尽管人们对于理想网片的构成还没有定论,但对其重要的特点却有了更深的理解。希望这些建议可以促进疝治疗的发展,并催生出最为有效的疝修补网片材料。

关键词: 外科网片, 假体设计, 并发症, 外科手术步骤, 动物模型

Abstract:

Hernia repair: the search for ideal meshes        Bringman S*, Conze J, Cuccurullo D,et al. *Department of Surgery, Clintec, Karolinska Institutet, Södertälje Hospital, 152 86 Södertälje, Sweden
Corresponding author:Bringman S,E-mail:Sven.Bringman@ki.se
Abstract    Effective repair of hernia is a difficult task. There have been many advances in hernia repair techniques over the past 50 years, but new strategies must be considered to enhance the success of herniorrhaphy. Discussion  At the 30th International Congress of the European Hernia Society, nine experts in hernia repair and experimental mesh evaluation participated in a roundtable discussion about today’s unmet needs in hernia repair, including what constitutes an “ideal” hernia repair and the portfolio of “ideal”mesh prostheses. Defining characteristics of lightweight mesh, mesh alternatives, the surgeon’s role in hernia repair, adverse events, the unmet requirements for today’s hernia repair, and optimized animal models were among the topics discussed. Conclusion  The ideal mesh’s construction is still in progress, but greater understanding of its critical characteristics was explored. It is hoped that these suggestions will lead to the development of improved hernia treatments and a maximally effective portfolio of hernia mesh prostheses.

Key words: surgical mesh , prosthesis design , complications, operative surgical procedure , animal models