Abstract: Strategies to prevent postoperative recurrence of inguinal hernia repair in adults        LIU Zi-wen，LI Xiao-bin. Department of General Surgery，Peking Union Medical College Hospital，Chinese Academy of Medicine Sciences & Peking Union Medical College，Beijing 100730，China
Corresponding author：LIU Zi-wen，E-mail：Liuziwenpumch@163.com
Abstract    Recurrence is one of the common postoperative complications of inguinal hernia repair. The factors that cause the postoperative recurrence include iatrogenic and the patient's own factors. Some of the factors can be intervened through clinical measures. Measures to reduce recurrence include recognizing the importance of postoperative education and management of patients，paying special attention to the treatment of diseases that increase abdominal pressure; strengthening the systematic learning and technical training of surgeons to improve the theoretical and technical level, standardizing the surgical access system and emphasizing the quality control of surgery；choosing the appropriate surgical method according to the specific situation of patients and technical experience of surgeons；freeing sufficient anatomical space and using patches of matching size; strengthening aseptic operation and exact hemostasis during operation to reduce postoperative infection and bleeding. Taking the above measures may effectively reduce the recurrence related risk factors.

Key words: inguinal hernia, recurrence, herniorrhaphy, prevention

摘要： 复发是腹股沟疝修补术后常见的并发症之一，引起腹股沟疝修补术后复发的原因包括病人自身的因素和医源性因素，其中部分因素可通过临床干预而改变。重视对腹股沟疝修补术后病人宣教和管理随访，尤其是治疗引起的腹内压增高相关疾病；加强外科医师的系统学习和技术培训，提高理论和技术水平，规范手术准入制度，强调手术质量控制；根据病人的具体情况和术者的技术经验选择合适的手术方式；术中游离充足的空隙并选择相匹配大小的补片，严格遵守无菌操作和确切止血，减少术后发生感染和出血。采取上述措施可有效减少腹股沟疝术后复发的危险因素。

关键词: 腹股沟疝, 复发, 疝修补术, 预防