Abstract:

Application of biologic mesh in hernia and abdominal wall surgery        LI Ji-ye. Department of General Surgery, the First Hospital Affiliated to General Hospital of PLA, Beijing 100048，China
Abstract    Biologic meshes have been used to repair abdominal wall hernia and defect for more than 10 years, and a number of clinical experience of the use of biologic mesh has been accumulated. The majority of surgeons have the opinion that biologic mesh provides an important and new tool for repair of hernia and defect of the abdominal wall, especially for the contaminated and infected fields. Most of the clinical results showed the short-term outcome of the repair of hernia and defect using biologic mesh is satisfactory, and long--term outcome need to be further investigated. A multicenter, prospective, randomized control trial should be conducted to make sure the relationship of both the types of biologic mesh and the mesh placement to the results of treatment, and the different effect of  biologic mesh for repairing hernia and defect with and without contaminated and infected fields.

Key words: biologic mesh, ventral hernia, abdominal wall defect, repair

摘要：

生物补片用于修补腹壁疝及缺损已10余年，积累了一定的临床经验。多数术者认为生物补片为外科医生修复腹壁疝和腹壁缺损、特别是有污染和感染的病人提供了重要的工具。大部分临床结果表明生物补片修补疝和腹壁缺损近期效果良好, 远期效果有待进一步观察研究。对于生物补片种类与治疗效果关系，补片放置方法与治疔效果的关系，污染、感染情况下与清洁状况下使用生物补片效果差别，需要多中心、前瞻性随机对照研究。

关键词: 生物补片, 腹壁疝, 腹壁缺损