外科理论与实践

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2026 , Vol. 31 >Issue 01: 17 - 22

DOI: https://doi.org/10.16139/j.1007-9610.2026.01.04

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腹壁疝修补术中腹腔内补片修补术与腹膜外修补术的选择

  • 黄铂涵 ,
  • 曹桢 ,
  • 刘子文
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  • 中国医学科学院北京协和医学院北京协和医院基本外科， 北京 100730
作者贡献/Authors’ contributions

黄铂涵负责资料收集和撰写；曹桢、刘子文负责指导、审查和修订。

刘子文，E-mail: lzwpumch@sina.com

收稿日期: 2026-02-03

  网络出版日期: 2026-04-21

基金资助

国家自然科学基金(81572459);北京市自然科学基金(7202164)

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Contemporary perspectives on intraperitoneal Onlay mesh versus extraperitoneal repair in ventral hernia repair

  • HUANG Bohan ,
  • CAO Zhen ,
  • LIU Ziwen
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  • Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Received date: 2026-02-03

  Online published: 2026-04-21

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摘要

腹壁疝以原发性腹壁疝和切口疝较为常见，其手术治疗在过去的20年发生较大变化。随着微创技术和补片材料的发展，腹腔内补片修补术(IPOM)应运而生并被广泛采用。但因其特有的并发症不断显现，出现了质疑该手术方式的学术声音，开放手术(Sublay)以及腔镜腹膜外修补逐渐被重视。本文从技术演进、临床疗效及并发症特征等方面进行系统比较，客观分析各自的优势与局限，旨在为外科医师选择修补策略时提供理论依据和实践指导，促进规范化和个体化治疗理念的推广。

关键词： 疝修补术; 腹膜外修补; 腹腔内补片修补术; 腹腔镜; 机器人

本文引用格式

黄铂涵 , 曹桢 , 刘子文 . 腹壁疝修补术中腹腔内补片修补术与腹膜外修补术的选择[J]. 外科理论与实践, 2026 , 31(01) : 17 -22 . DOI: 10.16139/j.1007-9610.2026.01.04

Abstract

Ventral hernias are most commonly of primary ventral hernia and incisional hernia. Over the past two decades, significant advancements have been made in their surgical management. With the development of minimally invasive techniques and mesh materials, intraperitoneal Onlay mesh(IPOM) repair has emerged and been widely adopted. However, due to the continuous emergence of its specific complications, academic skepticism regarding this approach has arisen. Consequently, open Sublay repair and laparoscopic extraperitoneal repair have regained attention. This article systematically compared these techniques in terms of technical evolution, clinical efficacy, and complication profiles, objectively analyzing their respective advantages and limitations. It provided theoretical foundations and practical guidance for surgeons in selecting repair strategies, and promoted the standardization and individualized treatment concepts in clinical practice.

Key words： Herniorrhaph; Extraperitoneal repair; Intraperitoneal Onlay mesh (IPOM); Laparoscopy; Robot

参考文献

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