Abstract: How to effectively repair large incisional hernias of the abdominal wall, reconstruct the abdominal wall, and reduce postoperative complications has long been a challenge for hernia and abdominal wall surgeons. Combining tissue separation techniques with mesh reinforcement often achieves good therapeutic outcomes and effective abdominal wall reconstruction. However, recurrence still occurs, and subsequent management is particularly difficult. A comprehensive analysis of the overall condition is necessary to select appropriate treatment strategies and surgical approaches.    

Key words: large incisional hernia of the abdominal wall, tissue separation technique, recurrence, reconstruction

摘要： 如何有效地修复巨大腹壁切口疝、重建腹壁、降低术后并发症一直是困扰疝和腹壁外科医师的问题，组织分离技术与补片加强修补相结合往往能够达到较好的治疗效果，对腹壁进行有效重建，但仍有复发情况发生，再次处理较为棘手，需要对整体的情况进行综合分析，合理选择治疗策略和手术方案。

关键词: 巨大腹壁切口疝, 组织分离技术, 复发, 重建