关键词: 巨大腹壁切口疝, 内镜组织结构分离技术, 腹壁, 重建

Abstract:

Treatment of large incisional hernia with endoscopic component separation technique        GU Yan, YANG Jian-jun, SONG Zhi-cheng. Hernia and Abdominal Wall Disease Center，Shanghai Jiao Tong University; Department of General Surgery，Shanghai Ninth People’s Hospital，Shanghai Jiao Tong University School of Medicine，Shanghai 200011，China
Corresponding author：GU Yan，E-mail：yangu@sjtu.edu.cn
Abstract    Treatment of large incisional hernia (LIH) is still a challenge to most of the abdominal wall surgeons due to unacceptable high morbidity and recurrence rates. Reconstruction of the abdominal wall based on close of the defect and mesh reinforcement is essential for treatment of LIH. Endoscopic component separation technique (ECST) provides significant assistances for abdominal wall reconstruction, which not only has similar reconstruction results as open component separation with minimally surgical procedures , but also decrease the morbidity significantly. Understanding the correct procedure of ECST is very important for LIH reconstruction.

Key words: large incisional hernia；endoscopic component separation technique, abdominal wall, reconstruction