关键词: 切口疝, 肠瘘, 腹腔感染, 外科干预, 人工合成补片, 术后并发症, 液体复苏, 营养支持

Abstract: Intestinal fistula is a catastrophic complication after incisional hernia repair. Patients are often accompanied by abdominal wall and abdominal cavity infections of varying degrees, and subsequent sepsis, systemic inflammatory response syndrome (SIRS) and septic shock seriously threaten the safety of patients. Different from the conventional treatment of intestinal fistula, the artificial mesh retained in incisional hernia repair increases the difficulty of the subsequent management of intestinal fistula. Abdominal infection caused by intestinal fistula is the initial factor of high mortality. Early diagnosis and timely and effective surgical intervention are the key to reducing the mortality of patients. The management of intestinal fistula after incisional hernia is complicated and challenging. The stepped treatment strategy based on the concept of damage control surgery (DCS) combined with the pathophysiological characteristics of intestinal fistula provides an important idea for the treatment of intestinal fistula after incisional hernia.

Key words: incisional hernia, intestinal fistula, abdominal infection, surgical intervention, synthetic mesh, postoperative complications, fluid resuscitation, nutritional support