转载｜切口疝腹腔镜IPOM修补七步法操作指南（2022版）

切口疝腹腔镜IPOM修补七步法操作指南（2022版）

广东省医师协会疝与腹壁外科医师分会

摘要 切口疝修补手术近年来逐步得到推广，多年来的经验及临床研究显示腹腔镜下腹腔内网片修补术（IPOM）能有效关闭缺损、减少复发，是治疗切口疝的理想方法。规范化腹腔镜下切口疝的IPOM修补术操作势在必行。本团队经过多年培训实践及临床对比研究，发现七步法遵循学习规律、适合操作者掌握，同时可减少手术并发症。因此，广东省医师协会疝与腹壁外科医师分会组织编写了第1版《切口疝腹腔镜IPOM修补七步法操作指南》，旨在针对疝和腹壁外科领域腹腔镜切口疝IPOM修补手术操作进行规范化和标准化，为疝和腹壁外科医生们规范修补操作、缩短学习曲线、减少术后并发症提供帮助。

关键词 切口疝；疝修补术；腹腔镜；七步法操作；指南

中图分类号：R656.2

Guidelines for performing laparoscopic IPOM repair of incision hernia by seven-step method (2022 edition)

Hernia and Abdominal Wall Surgeons Branch of Guangdong Medical Doctor Association

Abstract Incisional hernia repair has been steadily promoted in recent years. Years of experience and clinical studies have shown that laparoscopic intraperitoneal onlay mesh (IPOM) can effectively close the defect and reduce recurrence, so it is an ideal method for the treatment of incisional hernia. Standardization of operation procedure for laparoscopic IPOM repair of incisional hernia is urgently needed. After years of training practice and clinical comparative analyses, our team found that the “seven-step method“ follows the learning pattern, is suitable for the operator to master, meanwhile, it can reduce postoperative complications. Therefore, the Hernia and Abdominal Wall Surgeons Branch of Guangdong Medical Doctor Association organized the compilation of the first edition of the “Guidelines for performing laparoscopic IPOM repair of incision hernia by seven-step method“, which aims to regularize and standardize the operation of laparoscopic IPOM repair in the field of hernia and abdominal wall surgery, and to provide help for standardizing the repair operation and shortening the learning curve of the hernia and abdominal wall surgeons as well as reducing postoperative complications.

Key words Incisional Hernia; Herniorrhaphy; Laparoscopes; Seven-Step Procedure; Guidelines

CLC number: R656.2

全文发表在《中国普通外科杂志》, 2022, 31(4):421-432. doi：10.7659/j.issn.1005-6一947.2022.04.001