外科理论与实践 ›› 2024, Vol. 29 ›› Issue (04): 279-284.doi: 10.16139/j.1007-9610.2024.04.01

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中国疝修补技术30年的演变和进展

唐健雄(), 孟云潇   

  1. 复旦大学附属华东医院普外科,上海 200040
  • 收稿日期:2024-06-19 出版日期:2024-07-25 发布日期:2024-11-15
  • 通讯作者: 唐健雄,E-mail: Johnxiong@china.com

Evolution and progress of hernia repair techniques in the past 30 years in China

TANG Jianxiong(), MENG Yunxiao   

  1. Department of General Surgery, Huadong Hospital, Fudan University, Shanghai 200040, China
  • Received:2024-06-19 Online:2024-07-25 Published:2024-11-15

摘要:

本文概述疝病的基本概念及其历史沿革。“无张力修补”概念的引入使得疝外科有了里程碑式飞跃,“腹壁功能”概念的建立则推动了疝外科的发展。介绍疝修补技术在我国的引入和推广,重点讨论中国疝外科修补技术的发展阶段,包括开放手术、腹腔镜手术和机器人手术,以及微创技术在疝修补中的应用和发展。指出应按腹壁疝的分型来选择手术方式以及腹壁重建的3R[修补(repair),组织结构重建(reconstruction),结构重塑和功能修复(restoration)]原则。还探讨材料科学的进展和日间手术模式的推广。

关键词: 疝, 疝修补技术, 材料科学, 日间手术

Abstract:

This article provided an overview of the basic concepts and historical development of hernias. The introduction of the concept of “tension-free hernioplasty” marked a milestone in hernia surgery, while the establishment of the concept of “abdominal domain” has propelled its development. This article introduced the introduction and promotion of hernia repair techniques in China, with a focus on discussing the stages of development for Chinese hernia surgical repair techniques including open surgery, laparoscopic surgery, robotic surgery, as well as the application and development of minimally invasive techniques. It emphasized that surgical methods should be selected based on the classification of abdominal wall hernia and the 3R(repair, reconstruction, restoration) principle for abdominal wall reconstruction. Additionally, this article explored advancements in materials science and the promotion of day surgery models.

Key words: Hernia, Hernia repair technique, Materials science, Day surgery

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