Abstract:

Application of biologic mesh in the treatment of inguinal hernia        SUN Li, CHEN Jie, SHEN Ying-mo, et al. Department of Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, China
Corresponding author: CHEN Jie, E-mail: chenjiejoe@sina.com
Abstract    Biologic mesh is the landmark of the repair material in the field of the hernia and abdominal wall surgery. In contrast with the traditional polypropylene materials, the advantages of biologic mesh are richly endowed by nature. It has been used in inguinal hernia, umbilical hernia, incisional hernia, stoma hernia, esophageal hiatal hernia, hernia of pelvic floor, and the reconstruction of the abdominal wall tumor, infection or trauma. Biologic mesh is applied early in the aspect of inguinal hernia repair. It has obvious advantages in repair of adolescent inguinal hernia, preventing or reducing postoperative spermatic cord adhesion and ejaculation pain in male patients, and repair of abdominal wall hernia with contaminated or potential contaminated wound. Seroma/hematoma and fever are the most common complications associated with the biologic mesh, and the incidence rate is several times of the synthetic ones. In addition, the biologic mesh is much more expensive and has a higher cost of use, which has become an important factor in limiting its application. In general, it is difficult to be the perfect substitute of traditional artificial synthetic mesh currently.

Key words: inguinal hernia, tension-free hernia repair, biologic mesh

摘要：

生物补片是疝和腹壁外科领域最具里程碑意义的修补材料，与传统的聚丙烯材料相比有着得天独厚的优势，目前已应用于腹股沟疝、脐疝、切口疝、造口旁疝、食管裂孔疝、盆底疝，以及腹壁肿瘤、感染或创伤后的腹壁重建。生物补片在腹股沟疝修补领域使用较早，尤其是在青少年腹股沟疝修补、防止或减少男性腹股沟疝病人手术后精索粘连及射精痛，以及手术创面存在污染或潜在污染的腹壁疝修补方面都有着明显的优势。手术后血清肿或血肿、发热等是使用生物补片最常见的并发症，其发生率是聚丙烯材料的数倍，而且生物补片本身价格昂贵，使用成本较高，这也成为限制其使用的一个重要影响因素。生物补片目前仍无法完全替代传统人工合成材料补片。

关键词: 腹股沟疝, 无张力疝修补术, 生物补片