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

doi:10.16139/j.1007-9610.2024.04.01

Abstract

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

CLC Number:

R656.2

TANG Jianxiong, MENG Yunxiao. Evolution and progress of hernia repair techniques in the past 30 years in China[J]. Journal of Surgery Concepts & Practice, 2024, 29(04): 279-284.

References 29

[1]	TAN W P, LAVU H, ROSATO E L, et al.Edoardo Bassini (1844-1924): father of modern-day hernia surgery[J]. Am Surg, 2013, 79(11):1131-1133. pmid: 24165244
[2]	BULYK I, SHKARBAN V, VASYLIUK S, et al. The history of inguinal hernia surgery[J]. Rozhl Chir, 2023, 102(4):149-153. doi: 10.33699/PIS.2023.102.4.149-153 pmid: 37344194
[3]	USHER F C, OCHSNER J, TUTTLE LL J R. Use of marlcx mesh in the repair of incisional hernias[J]. Am Surg, 1958, 24(12):969-974.
[4]	READ R C. Herniology:past,present,and future[J]. Hernia, 2009, 13(6):577-580.
[5]	BENETTD H. Principles in hernia surgery[M]// KINGSNORTH AN, LEBLANCKA. Management of abdominal hernias. London:Springer,2013:87-98.
[6]	全竹富, 黎介寿. 无张力腹股沟疝修补术[J]. 医学研究生学报, 1992, 20(3):265-267.
	QUAN Z F, LI J S. Tension free inguinal hernia repair[J]. J Med Postgrad, 1992, 20(3):265-267.
[7]	马颂章, 李燕青. 疝环充填式无张力疝修补术[J]. 临床外科杂志, 1998, 6(4):234.
	MA S Z, LI Y Q. Hernia ring filling tension free hernia repair[J]. J Clin Surg, 1998, 6(4):234.
[8]	李健文, 乐飞, 薛佩. 腹腔镜腹股沟疝手术关键技术标准及评价[J]. 中国实用外科杂志, 2024, 44(1):47-51.
	LI J W, YUE F, XUE P. Standards and evaluations of key techniques in laparoscopic inguinal hernia surgery[J]. Chin J Pract Surg, 2024, 44(1):47-51.
[9]	中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科医师委员会. 成人腹股沟疝诊断和治疗指南(2018年版)[J]. 中华外科杂志, 2018, 56(7):495-498.
	Hernia and Abdominal Wall Surgery Group of the Chinese Medical Association, Hernia and Abdominal Wall Surgery Committee of the Chinese Physicians Association of Surgery. Guidelines for diagnosis and treatment on the adult groin hernia (2018 edition)[J]. Chin J Surg, 2018, 56(7):495-498.
[10]	GBD 2015 Healthcare Access and Quality Collaborators. Healthcare cccess and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015: a novel analysis from the global burden of disease study 2015[J]. Lancet,2017, 390(10091):231-266.
[11]	GBD 2016 Healthcare Access and Quality Collaborators. Measuring performance on the healthcare access and quality index for 195 countries and territories and selected subnational locations: a systematic analysis from the global burden of disease study 2016[J]. Lancet,2018, 391(10136):2236-2271.
[12]	中华医学会外科学分会疝和腹壁外科学组. 成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案(2003年修订稿)[J]. 中华外科杂志, 2004, 42(14):834-835.
	Hernia and Abdominal Wall Surgery Group, Chinese Medical Association Surgery Branch. Protocol for the surgical treatment of inguinal, femoral and abdominal surgical incisional hernias in adults (2003 Revision)[J]. Chin J Surg, 2004, 42(14):834-835.
[13]	中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科医师委员会. 腹壁切口疝诊断和治疗指南(2018年版)[J]. 中华外科杂志, 2018, 56(7):499-502.
	Hernia and Abdominal Wall Surgery Group of the Chinese Medical Association, Hernia and Abdominal Wall Surgery Committee of the Chinese Association of Physicians and Surgeons. Guidelines for diagnosis and treatment of abdominal wall incisional hernia (2018 edition)[J]. Chin J Surg, 2018, 56(7):499-502.
[14]	唐健雄, 顾岩. 我国疝和腹壁外科高质量发展的机遇和挑战[J]. 中华外科杂志, 2023, 61(6):441-445.
	TANG J X, GU Y. Opportunities and challenges for the high-quality development of hernia and abdominal wall surgery in China[J]. Chin J Surg, 2023, 61(6):441-445.
[15]	中华医学会外科学分会疝与腹壁外科学组, 中国医疗保健国际交流促进会临床实用技术分会腹壁修复与重建外科学组. 组织结构分离技术规范化操作中国专家共识(2020版)[J]. 中国实用外科杂志, 2020, 40(5):488-493.
	Hernia and Abdominal Wall Surgery Group of the Chinese Medical Association Surgical Branch, Abdominal Wall Repair and Reconstruction Surgery Group of the Clinical Practical Technology Branch of the China Association for the Promotion of International Exchange in Healthcare. Chinese expert consensus on application of component separation techniques(2020)[J]. Chin J Pract Surg, 2020, 40(5):488-493.
[16]	李绍杰, 孟云潇, 李绍春, 等. 腹膜腱膜瓣加强补片修补技术用于腹壁切口疝手术158例报告[J]. 中国实用外科杂志, 2021, 41(4):398-401.
	LI S J, MENG Y X, LI S C, et al. Clinical analysis on the flap reinforcement of abdominal wall with "envelopped" mesh technique in 158 incisional hernia cases[J]. Chin J Pract Surg, 2021, 41(4):398-401.
[17]	LI S, XIAO H, YANG L, et al. Electrospun P (LLA-CL) nanoscale fibrinogen patch vs. porcine small intestine submucosa graft repair of inguinal hernia in adults: a randomized, single-blind, controlled, multicenter, noninferiority trial[J]. J Am Coll Surg, 2019, 229(6):541-551.e1.
[18]	李健文, 乐飞. 腹腔镜腹壁切口疝修补术的现状和展望[J]. 中国普通外科杂志, 2021, 30(4):375-379.
	LI J W, YUE F. Current status and prospects of laparoscopic ventral/incisional hernia repair[J]. Chin J Gen Surg, 2021, 30(4):375-379.
[19]	中华医学会外科学分会腹腔镜与内镜外科学组, 中华医学会外科学分会疝和腹壁外科学组, 大中华腔镜疝外科学院. 切口疝腹腔镜手术规范化操作专家共识[J]. 中国实用外科杂志, 2015, 35(11):1192-1197. doi: 10.7504/CJPS.ISSN1005-2208.2015.11.11
	Laparoscopic and Endoscopic Surgery Group of the Chinese Society of Surgery, Chinese Society of Surgery, Hernia and Abdominal Wall Surgery Group of the Chinese Society of Surgery, and the Greater China College of Lumpectomy and Hernia Surgery. Expert consensus on standardisation of incisional hernia laparoscopic surgery[J]. Chin J Pract Surg, 2015, 35(11):1192-1197.
[20]	LI S C, LI S J, HOU D S. Prospects and challenges of robotic hernia surgery in China: a narrative review[J]. Int J Abdom Wall Hernia Surg, 2023, 6(2):67-70.
[21]	BITTNER R, BAIN K, BANSAL V K, et al. Update of guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))[J]. Surg Endosc, 2019, 33(11):3511-3549.
[22]	唐健雄, 孟云潇. 疝与腹壁外科发展方向的思路拓展[J]. 中华消化外科杂志, 2021, 20(7):760-763.
	TANG J X, MENG Y X. Opening mind on development of hernia and abdominal wall surgery[J]. Chin J Dig Surg, 2021, 20(7):760-763.
[23]	WEGDAM J A, THOOLEN J M M, NIENHUIJS S W, et al. Systematic review of transversus abdominis release in complex abdominal wall reconstruction[J]. Hernia, 2019, 23(1):5-15. doi: 10.1007/s10029-018-1870-5 pmid: 30539311
[24]	过文泰, 胡民辉, 黄榕康, 等. 疝外科材料学百年发展及未来展望[J]. 中华胃肠外科杂志, 2018, 21(7):828-832.
	GUO W T, HU M H, HUANG R K, et al. Hundred years development and future prospect of the material science for hernia[J]. Chin J Gastrointest Surg, 2018, 21(7):828-832.
[25]	申英末, 孙蕊, 陈杰, 等. 我国疝和腹壁外科研究进展及未来展望[J]. 中华消化外科杂志, 2023, 22(1):100-104.
	SHEN Y M, SUN R, CHEN J, et al. Research progress and future prospect of hernia and abdominal wall surgery in China[J]. Chin J Dig Surg, 2023, 22(1):100-104.
[26]	陈双, 江志鹏. 再论腹壁的力学原理——各向异性的临床与思考[J]. 中国实用外科杂志, 2022, 42(2):159-162.
	CHEN S, JIANG Z P. Further discussion on the mechanical principle of abdominal wall——clinical and thinking of anisotropy[J]. Chin J Pract Surg, 2022, 42(2):159-162.
[27]	唐健雄, 黄磊, 李绍杰. 生物材料在腹壁疝治疗中的现状和前景[J]. 中华消化外科杂志, 2020, 19(7):720-724.
	TANG J X, HUANG L, LI S J. Current status and prospect of biological materials in the treatment of ventral hernia[J]. Chin J Dig Surg, 2020, 19(7):720-724.
[28]	中国日间手术合作联, 《中华疝和腹壁外科杂志(电子版)》编委会, 中国医师协会外科医师分会疝和腹壁外科学组, 等. 中小腹壁疝日间手术规范化流程中国专家共识(2022版)[J]. 中华消化外科杂志, 2022, 21(9):1165-1172.
	China Day Surgery Cooperative Alliance, Editorial Board of Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), Hernia and Abdominal Wall Surgery Group of Chinese Physicians' Association of Surgeons, et al. Chinese expert consensus on standard process of ambulatory surgery for small and medium ventral hernia (2022 edition)[J]. Chin J Dig Surg, 2022, 21(9):1165-1172.
[29]	中国日间手术合作联盟疝和腹壁外科专业日间手术专家委员会, 《中华疝和腹壁外科杂志(电子版)》编辑委员会, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会, 等. 腹股沟疝日间手术规范化流程与标准中国专家指南(2023版)[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(5):497-503.
	Day Surgery Expert Committee of Hernia and Abdominal Wall Surgery, China Day Surgery Cooperative Alliance, Editorial Committee of Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), Hernia and Abdominal Wall Surgery Industry and Clinical Research Branch of National Health Industry Enterprise Management Association, et al. Chinese expert guideline on standardized process and standards of ambulatory surgery for inguinal hernia (2023 edition)[J]. Chin J Hernia Abdom Wall Surg (Electronic Edition), 2023, 17(5):497-503.