Abstract:

Key points of prevention and treatment of venous thromboembolism in hernia and abdominal wall surgery          LI Shao-chun, LI Shao-jie, TANG Jian-xiong. Hernia and Abdominal Wall Treatment and Training Center, Huadong Hospital, Fudan University, Shanghai 200040, China
Corresponding author：TANG Jian-xiong，E-mail：johnxiong@
china.com
Abstract    Hernia and abdominal wall surgery, as a branch of surgery, is characterized by a large proportion of elderly patients and short hospital stays, which makes venous thromboembolism (VTE) prevention during perioperative period different from other surgeries. The prevention of VTE in hernia and abdominal wall surgery should be carried out in every step from the outpatient first visit to the postoperative follow-up. Effective intervention and prevention should be carried out from various aspects such as preoperative evaluation, anesthesia methods, operative methods and the application of the ERAS, weight loss observation concept, and establishment of VTE emergency rescue system, so as to reduce the occurrence of perioperative VTE.

Key words: hernia and abdominal wall surgery, perioperative period, venous thromboembolism, prevention

摘要： 疝与腹壁外科作为外科的分支领域，具有高龄病人比重大、住院天数短等特点，使其围手术期的静脉血栓栓塞症（VTE）预防相较其他外科有所区别。疝与腹壁外科围手术期VTE预防应从门诊初诊持续至术后随访的每一个步骤，从术前评估、麻醉方式、手术方式、加速康复理念、减重观察理念的应用，以及建立VTE的应急抢救制度等多个方面进行科学有效的干预预防，才能尽可能降低疝与腹壁外科围手术期VTE的发生率。

关键词: 疝与腹壁外科, 围手术期, 静脉血栓栓塞症, 预防