European Hernia Society guidelines on the closure of abdominal wall incisions

详细信息    查看全文

• 作者：F. E. Muysoms (1)
  S. A. Antoniou (2) (3)
  K. Bury (4)
  G. Campanelli (5)
  J. Conze (6) (7)
  D. Cuccurullo (8)
  A. C. de Beaux (9)
  E. B. Deerenberg (10)
  B. East (11)
  R. H. Fortelny (12)
  J.-F. Gillion (13)
  N. A. Henriksen (14)
  L. Israelsson (15)
  A. Jairam (10)
  A. J盲nes (16)
  J. Jeekel (17)
  M. L贸pez-Cano (18)
  M. Miserez (19)
  S. Morales-Conde (20)
  D. L. Sanders (21)
  M. P. Simons (22)
  M. 艢mieta艅ski (23)
  L. Venclauskas (24)
  F. Berrevoet (25)
  
  1. Department of Surgery ; AZ Maria Middelares ; Kortrijksesteenweg 1026 ; 9000 ; Ghent ; Belgium
  2. Center for Minimally Invasive Surgery ; Neuwerk Hospital ; M枚nchengladbach ; Germany
  3. Department of General Surgery ; University Hospital of Heraklion ; University of Crete ; Heraklion ; Greece
  4. Department of Cardiac and Vascular Surgery ; Medical University of Gdansk ; Gda艅sk ; Poland
  5. General and Day Surgery ; Center of Research and High Specialization for Abdominal Wall Pathology and Hernia Repair ; Istituto Clinico Sant鈥?Ambrogio ; University of Insubria ; Milan ; Italy
  6. UM Hernia Centre ; Munich ; Germany
  7. Department of General ; Visceral and Transplantation Surgery ; University Hospital of the RWTH Aachen ; Aachen ; Germany
  8. Department of General and Laparoscopic Surgery ; Monaldi Hospital ; Azienda Ospedaliera dei Colli ; Naples ; Italy
  9. Department of General Surgery ; The Royal Infirmary of Edinburgh ; Edinburgh ; UK
  10. Department of Surgery ; Erasmus MC University Medical Center Rotterdam ; Rotterdam ; The Netherlands
  11. Department of Surgery ; Second Faculty of Medicine ; Charles University in Prague ; Prague ; Czech Republic
  12. Department of General ; Visceral and Oncological Surgery ; Hernia Center ; Wilhelminenspital ; Vienna ; Austria
  13. Unit茅 de Chirurgie Visc茅rale et Digestive ; H么pital Priv茅 d鈥橝ntony ; Antony ; France
  14. Bispebjerg Hospital and Department of Gastroenterology ; Digestive Disease Center ; Hvidovre Hospital ; Copenhagen ; Denmark
  15. Department of Surgery and Perioperative Science ; Ume氓 University ; Ume氓 ; Sweden
  16. Upper GI and Trauma Surgery ; Department of Surgery ; Sundsvall Hospital ; Sundsvall ; Sweden
  17. Department of Neurosciences ; Erasmus MC University Medical Center Rotterdam ; Rotterdam ; The Netherlands
  18. Abdominal Wall Surgery Unit ; Hospital Universitario Vall d鈥橦ebr贸n ; Universidad Aut贸noma de Barcelona ; Barcelona ; Spain
  19. Department of Abdominal Surgery ; University Hospitals ; KU Leuven ; Leuven ; Belgium
  20. Unit of Innovation in Minimally Invasive Surgery ; University Hospital Virgen del Roc铆o ; Seville ; Spain
  21. Department of Surgery ; Derriford Hospital ; Plymouth ; UK
  22. Department of Surgery ; Onze Lieve Vrouw Gasthuis ; Amsterdam ; The Netherlands
  23. Department of General and Vascular Surgery ; Ceynowa Hospital in Wejherowo ; Wejherowo ; Poland
  24. Department of Surgery ; Lithuanian University of Health Sciences ; Kaunas ; Lithuania
  25. Department of General and Hepatobiliary Surgery and Liver Transplantation Service ; University Hospital Ghent ; Ghent ; Belgium
  
• 关键词：Guidelines ; Abdominal wall closure ; Laparotomy ; Laparoscopy ; Prophylactic mesh ; Prevention ; Incisional hernia
• 刊名：Hernia
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：19
• 期：1
• 页码：1-24
• 全文大小：3,780 KB
• 参考文献：1. Diener MK, Voss S, Jensen K, Buchler MW, Seiler CM (2010) Elective midline laparotomy closure: the inline systematic review and meta-analysis. Ann Surg 251:843鈥?56
  2. Fink C, Baumann P, Wente MN, Knebel P, Bruckner T, Ulrich A, Werner J, B眉chler MW, Diener MK (2014) Incisional hernia rate 3聽years after midline laparotomy. Br J Surg 101:51鈥?4
  3. Pereira JA, Pera M, Grande L (2013) Incidence of incisional hernia after open and laparoscopic colorectal cancer resection (Spanish language). Cir Esp 91:44鈥?9
  4. Claes K, Beckers R, Heindryckx E, Kyle-Leinhase I, Pletinckx P, Claeys D, Muysoms F (2014) Retrospective observational study on the incidence of incisional hernias after colorectal carcinoma resection with follow-up CT scan. Hernia Jan 21 (Epub ahead of print)
  5. den Hartog D, Dur AHM, Kamphuis AGA, Tuinebreijer WE, Kreis RW (2009) Comparison of ultrasonography with computed tomography in the diagnosis of incisional hernias. Hernia 13:45鈥?8
  6. Bloemen A, Van Dooren P, Huizinga BF, Hoofwijk AGM (2012) Comparison of ultrasonography and physical examination in the diagnosis of incisional hernia in a prospective study. Hernia 16:53鈥?7
  7. Bosanquet D, Aboelrahman T, Ansell J, Cornish J, Davies L, Frewer K, Frewer N, Glasbey J, Harries R, Stimpson A, Russell D, Russell I, Torkington J (2014) Systematic review and meta regression of factors affecting midline incisional hernia rates: an analysis of 14,618 patients. Hernia 18(suppl 2):S12鈥揝15
  8. Alnassar S, Bawahab M, Abdoh A, Guzman R, Al Tuwaijiri T, Louridas G (2012) Incisional hernia postrepair of abdominal aortic occlusive and aneurysmal disease: five-year incidence. Vascular 20:273鈥?77
  9. H枚er J, Lawong G, Klinge U, Schumpelick V (2002) Factors influencing the development of incisional hernia. A retrospective study of 2,983 laparotomy patients over a period of 10 years. Chirurg 73:474鈥?80
  10. Antoniou GA, Georgiadis GS, Antoniou SA, Granderath FA, Giannoukas AD, Lazarides MK (2011) Abdominal aortic aneurysm and abdominal wall hernia as manifestations of a connective tissue disorder. J Vasc Surg 54:1175鈥?181
  11. Henriksen NA, Helgstrand F, Vogt KC, Jorgensen LN, Bisgaard T (2013) Risk factors for incisional hernia repair after aortic reconstructive surgery in a nationwide study. J Vasc Surg 57:1524鈥?530
  12. Israelsson LA, Millbourn D (2013) Prevention of incisional hernias: how to close a midline incision. Surg Clin North Am 93:1027鈥?040
  13. van Ramshorst GH, Eker HH, Hop WC, Jeekel J, Lange JF (2012) Impact of incisional hernia on health-related quality of life and body image: a prospective cohort study. Am J Surg 204:144鈥?50
  14. Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg 237:129鈥?35
  15. Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578鈥?83
  16. Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T (2012) Reoperation versus clinical recurrence rate after ventral hernia repair. Ann Surg 256:955鈥?58
  17. Meijer EJ, Timmermans L, Jeekel J, Lange JF, Muysoms FE (2013) The principles of abdominal wound closure. Acta Chir Belg 113:239鈥?44
  18. Data presented by J-F Gillion during the 36th Annual Congress of the European Hernia Society in Edinburgh on May 31st 2014. (Publication in preparation: J-F Gillion, D. Sanders, M. Miserez, F. Muysoms; The Bonham Group. The economic burden of incisional hernia repair.)
  19. Scottish Intercollegiate Guidelines Network (SIGN). http://www.sign.ac.uk/
  20. Brouwers M, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna S, Littlejohns P, Makarski J, Zitzelsberger L (2010) AGREE II: Advancing guideline development, reporting and evaluation in healthcare. Can Med Assoc J 182:E839鈥揈842. http://www.agreetrust.org/
  21. Liberati A, Altman DG, Tetzlaff J, Mulrow C, G酶tzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 62:e1鈥揺34. http://www.prisma-statement.org/
  22. Guyatt GH, Oxman AD, Vist G, Kunz R, Falck-Ytter Y, Alonso-Coello P, Sch眉nemann HJ (2008) Rating quality of evidence and strength of recommendations GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336:924鈥?26. http://www.gradeworkinggroup.org/
  23. Anderson ER, Gates S (2004) Techniques and materials for closure of the abdominal wall in caesarean section. Cochrane Database Syst Rev 18:CD004663
  24. Bhangu A, Fitzgerald JE, Singh P, Battersby N, Marriott P, Pinkney T (2013) Systematic review and meta-analysis of prophylactic mesh placement for prevention of incisional hernia following midline laparotomy. Hernia 17:445鈥?55
  25. Bhangu A, Nepogodiev D, Futaba K (2012) Systematic review and meta-analysis of the incidence of incisional hernia at the site of stoma closure. World J Surg 36:973鈥?83
  26. Bickenbach KA, Karanicolas PJ, Ammori JB, Jayaraman S, Winter JM, Fields RC, Govindarajan A, Nir I, Rocha FG, Brennan MF (2013) Up and down or side to side? A systematic review and meta-analysis examining the impact of incision on outcomes after abdominal surgery. Am J Surg 206:400鈥?09
  27. Brown SR, Goodfellow PB (2005) Transverse verses midline incisions for abdominal surgery. Cochrane Database Syst Rev 4:CD005199
  28. Cheng H, Rupprecht F, Jackson D, Berg T, Seelig MH (2007) Decision analysis model of incisional hernia after open abdominal surgery. Hernia 11:129鈥?37
  29. Finan KR, Kilgore ML, Hawn MT (2009) Open suture versus mesh repair of primary incisional hernias: a cost-utility analysis. Hernia 13:173鈥?82
  30. Friedrich M, Muller-Riemenschneider F, Roll S, Kulp W, Vauth C, Greiner W, Willich S, von der Schulenburg JM (2008) Health technology assessment of laparoscopic compared to conventional surgery with and without mesh for incisional hernia repair regarding safety, efficacy and cost-effectiveness. GMS Health Technol Assess 4:Doc01
  31. Grantcharov TP, Rosenberg J (2001) Vertical compared with transverse incisions in abdominal surgery. Eur J Surg 167:260鈥?67
  32. Gupta H, Srivastava A, Menon GR, Agrawal CS, Chumber S, Kumar S (2008) Comparison of interrupted versus continuous closure in abdominal wound repair: a meta-analysis of 23 trials. Asian J Surg 31:104鈥?14
  33. Helgstrand F, Rosenberg J, Bisgaard T (2011) Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia 15:113鈥?21
  34. Hodgson NC, Malthaner RA, Ostbye T (2000) The search for an ideal method of abdominal fascial closure: a meta-analysis. Ann Surg 231:436鈥?42
  35. Hynes DM, Stroupe KT, Luo P, Giobbie-Hurder A, Reda D, Kraft M, Itani K, Fitzgibbons R, Jonasson O, Neumayer L (2006) Cost effectiveness of laparoscopic versus open mesh hernia operation: results of a department of veterans affairs randomized clinical trial. J Am Coll Surg 203:447鈥?57
  36. Mathai M, Hofmeyr GJ, Mathai NE (2013) Abdominal surgical incisions for caesarean section. Cochrane Database Syst Rev 5:CD004453
  37. Jin JB, Jiang ZP, Chen S (2010) Meta-analysis of suture techniques for midline abdominal incisions. Zhonghua Wai Ke Za Zhi [Chinese J Surg] 48:1256鈥?261
  38. Le Huu Nho R, Mege D, Oua茂ssi M, Sielezneff I, Sastre B (2012) Incidence and prevention of ventral incisional hernia. J Visc Surg 149(5 Suppl):e3鈥揺14
  39. Nachiappan S, Markar S, Karthikesaligam A, Ziprin P, Faiz O (2013) Prophylactic mesh placement in high-risk patients undergoing elective laparotomy: a systematic review. World J Surg 37:1861鈥?871
  40. Owens M, Barry M, Janjua AZ, Winter DC (2011) A systematic review of laparoscopic port site hernias in gastrointestinal surgery. Surgeon 9:218鈥?24
  41. Pemberton RJ, Tolley DA, van Velthoven RF (2006) Prevention and management of complications in urological laparoscopic port site placement. Eur Urol 50:958鈥?68
  42. Rucinski J, Margolis M, Panagopoulos G, Wise L (2001) Closure of the abdominal midline fascia: meta-analysis delineates the optimal technique. Am Surg 67:421鈥?26
  43. Sajid MS, Parampalli U, Baig MK, McFall MR (2011) A systematic review on the effectiveness of slowly-absorbable versus non-absorbable sutures for abdominal fascial closure following laparotomy. Int J Surg 9:615鈥?25
  44. Seiler CM, Bruckner T, Diener MK, Papyan A, Golcher H, Seidlmayer C, Franck A, Kieser M, B眉cher MW, Knaebel HP (2009) Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial. Ann Surg 249:576鈥?82
  45. Seiler CM, Deckert A, Diener MK, Knaebel HP, Weigand MA, Victor N, B眉chler MW (2009) Midline versus transverse incision in major abdominal surgery: a randomized, double-blind equivalence trial. Ann Surg 249:913鈥?20
  46. Swank HA, Mulder IM, la Chapelle CF, Reitsma JB, Lange JF, Bemelman WA (2012) Systematic review of trocar-site hernia. Br J Surg 99:315鈥?23
  47. Takagi H, Sugimoto M, Kato T, Matsuno Y, Umemoto T (2007) Postoperative incision hernia in patients with abdominal aortic aneurysm and aortoiliac occlusive disease: a systematic review. Eur J Vasc Endovasc Surg 33:177鈥?81
  48. van 鈥榯 Riet M, Steyerberg EW, Nellensteyn J, Bonjer HJ, Jeekel J (2002) Meta-analysis of techniques for closure of midline abdominal incisions. Br J Surg 89:1350鈥?356
  49. Yamamoto M, Minikel L, Zaritsky E (2011) Laparoscopic 5-mm trocar site herniation and literature review. JSLS 15:122鈥?26
  50. Baucom RB, Beck WC, Holzman MD, Sharp KW, Nealon WH, Poulose BK (2014) Prospective evaluation of surgeon physical exam for detection of incisional hernia. J Am Coll Surg 218:363鈥?66
  51. Beck WC, Holzman MD, Sharp KW, Nealon WH, Dupont WD, Poulose BK (2013) Comparative effectiveness of dynamic abdominal sonography for hernia vs computed tomography in the diagnosis of incisional hernia. J Am Coll Surg 216:447鈥?53
  52. Schreinemacher MH, Vijgen GH, Dagnelie PC, Bloemen JG, Huizinga BF, Bouvy ND (2011) Incisional hernias in temporary stoma wounds: a cohort study. Arch Surg 146:94鈥?9
  53. Bhangu A, Fletcher L, Kingdon S, Smith E, Nepogodiev D, Janjua U (2012) A clinical and radiological assessment of incisional hernias following closure of temporary stomas. Surgeon 10:321鈥?25
  54. Cingi A, Cakir T, Sever A, Aktan AO (2006) Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum 49:1559鈥?563
  55. Cingi A, Solmaz A, Attaallah W, Aslan A, Aktan AO (2008) Enterostomy closure site hernias: a clinical and ultrasonographic evaluation. Hernia 12:401鈥?05
  56. Musella M, Milone F, Chello M, Angelini P, Jovino R (2001) Magnetic resonance imaging and abdominal wall hernias in aortic surgery. J Am Coll Surg 193:392鈥?95
  57. Rodriguez HE, Matsumura JS, Morasch MD, Greenberg RK, Pearce WH (2004) Abdominal wall hernias after open abdominal aortic aneurysm repair: prospective radiographic detection and clinical implications. Vasc Endovasc Surg 38:237鈥?40
  58. Hojer AM, Rygaard H, Jess P (1997) Ct in the diagnosis of abdominal wall hernias: a preliminary study. Eur Rad 7:1416鈥?418
  59. Young J, Gilbert AI, Graham MF (2007) The use of ultrasound in the diagnosis of abdominal wall hernias. Hernia 11:347鈥?51
  60. Lee L, Mappin-Kasirer B, Liberman AS, Stein B, Charlebois P, Vassiliou M, Fried GM, Feldman LS (2012) High incidence of symptomatic incisional hernia after midline extraction in laparoscopic colon resection. Surg Endosc 26:3180鈥?185
  61. Burger JW, van鈥檛 Riet M, Jeekel J (2002) Abdominal incisions: techniques and postoperative complications. Scand J Surg 91:315鈥?21
  62. Weiland DE, Bay C, Del Sordi S (1998) Choosing the best abdominal closure by meta-analysis. Am J Surg 176:666鈥?70
  63. Gurusamy KS, Cassar Delia E, Davidson BR (2013) Peritoneal closure versus no peritoneal closure for patients undergoing non-obstetric abdominal operations. Cochrane Database Syst Rev Issue 7. Art. No.: CD010424
  64. Israelsson LA (1999) Bias in clinical trials: the importance of suture technique. Eur J Surg 165:3鈥?
  65. Nelson RL, Vedula SS (2006) Closure methods for laparotomy incisions. Cochrane Database Systc Rev Issue 1 Art. No.: CD005661
  66. Jenkins TP (1976) The burst abdominal wound: a mechanical approach. Br J Surg 63:873鈥?76
  67. Israelsson LA, Jonsson T (1993) Suture length to wound length ratio and healing of midline laparotomy incisions. Br J Surg 80:1284鈥?286
  68. Israelsson LA, Millbourn D (2012) Closing midline abdominal incisions. Langenbecks Arch Surg 397:1201鈥?207
  69. Millbourn D, Cengiz Y, Israelsson LA (2009) Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg 144:1056鈥?059
  70. Wissing J, van Vroonhoven TJ, Schattenkerk ME, Veen HF, Ponsen RJ, Jeekel J (1987) Fascia closure after midline laparotomy: results of a randomized trial. Br J Surg 74:738鈥?41
  71. Wang ZX, Jiang CP, Cao Y, Ding YT (2013) Systematic review and meta-analysis of triclosan-coated sutures for the prevention of surgical-site infection. Br J Surg 100:465鈥?73
  72. Diener MK, Knebel P, Kieser M, Sch眉ler P, Schiergens TS, Atanassov V, Neudecker J, Stein E, Thielemann H, Kunz R, von Frankenberg M, Schernikau U, Bunse J, Jansen-Winkeln B, Partecke LI, Prechtl G, Pochhammer J, Bouchard R, Hodina R, Beckurts KT, Lei脽ner L, Lemmens HP, Kallinowski F, Thomusch O, Seehofer D, Simon T, Hyhlik-D眉rr A, Seiler CM, Hackert T, Reissfelder C, Hennig R, Doerr-Harim C, Klose C, Ulrich A, B眉chler MW (2014) Effectiveness of triclosan-coated PDS Plus versus uncoated PDS II sutures for prevention of surgical site infection after abdominal wall closure: the randomised controlled PROUD trial. Lancet 384:142鈥?52
  73. Rasi膰 Z, Schwarz D, Adam VN, Sever M, Lojo N, Rasi膰 D, Mateji膰 T (2011) Efficacy of antimicrobial triclosan-coated polyglactin 910 (Vicryl* Plus) suture for closure of the abdominal wall after colorectal surgery. Coll Antropol 35:439鈥?43
  74. Nakamura T, Kashimura N, Noji T, Suzuki O, Ambo Y, Nakamura F, Kishida A (2013) Triclosan-coated sutures reduce the incidence of wound infections and the costs after colorectal surgery: a randomized controlled trial. Surgery 153:576鈥?83
  75. Justinger C, Slotta JE, Ningel S, Graber S, Kollmar O, Schilling MK (2013) Surgical-site infection after abdominal wall closure with triclosan-impregnated polydioxanone sutures: results of a randomized clinical pathway facilitated trial. Surgery 3:589鈥?95
  76. Baracs J, Husz谩r O, Sajjadi SG, Horv谩th OP (2011) Surgical site infections after abdominal closure in colorectal surgery using triclosan-coated absorbable suture (PDS Plus) vs. uncoated sutures (PDS II): a randomized multicenter study. Surg Infect (Larchmt) 12:483鈥?89
  77. Stafford MK, Pitman MC, Nanthakumaran N, Smith JR (1998) Blunt-tipped versus sharp-tipped needles: wound morbidity. J Obstet Gynaecol 18:18鈥?9
  78. Khorgami Z, Shoar S, Laghaie B, Aminian A, Hosseini Araghi N, Soroush A (2013) Prophylactic retention sutures in midline laparotomy in high-risk patients for wound dehiscence: a randomized controlled trial. J Surg Res 180:238鈥?43
  79. Agarwal A, Hossain Z, Agarwal A, Das A, Chakraborty S, Mitra N, Gupta M, Ray U (2011) Reinforced tension line suture closure after midline laparotomy in emergency surgery. Trop Doct 41:193鈥?96
  80. Rink AD, Goldschmidt D, Dietrich J, Nagelschmidt M, Vestweber KH (2000) Negative side-effects of retention sutures for abdominal wound closure. A prospective randomised study. Eur J Surg 166:932鈥?37
  81. M盲kel盲 JT, Kiviniemi H, Juvonen T, Laitinen S (1995) Factors influencing wound dehiscence after midline laparotomy. Am J Surg 170:387鈥?90
  82. Matsuoka J, Gohchi A, Kamikawa Y, Sakagami K, Orita K (1995) Chopstick retention suture for the closure of abdominal wounds. J Am Coll Surg 181:471鈥?74
  83. Penninckx FM, Poelmans SV, Kerremans RP, Beckers JP (1979) Abdominal wound dehiscence in gastroenterological surgery. Ann Surg 189:345鈥?52
  84. Irvin TT, Stoddard CJ, Greaney MG, Duthie HL (1977) Abdominal wound healing: a prospective clinical study. Br Med J 2:351鈥?52
  85. Hubbard TB Jr, Rever WB Jr (1972) Retention sutures in the closure of abdominal incisions. Am J Surg 124:378鈥?80
  86. Rahbari NN, Knebel P, Diener MK, Seidlmayer C, Ridwelski K, Stoltzing H, Seiler CM (2009) Current practice of abdominal wall closure in elective surgery鈥攊s there any consensus? BMC Surgery 9:8
  87. Bouvier A, Rat P, Drissi-Chbihi F, Bonnetain F, Lacaine F, Mariette C, Ortega-Deballon P (2014) Abdominal binders after laparotomy: review of the literature and French survey of policies. Hernia 18:501鈥?06
  88. Pommergaard HC, Burcharth J, Danielsen A, Angenete E, Haglind E, Rosenberg J (2013) No consensus on restrictions on physical activity to prevent incisional hernias after surgery. Hernia 18:495鈥?00
  89. Kosins AM, Scholz T, Cetinkaya M, Evans GR (2013) Evidence-based value of subcutaneous surgical wound drainage: the largest systematic review and meta-analysis. Plast Reconstr Surg 132:443鈥?50
  90. Nakayama H, Takayama T, Okubo T, Higaki T, Midorikawa Y, Moriguchi M, Aramaki O, Yamazaki S (2014) Subcutaneous drainage to prevent wound infection in liver resection: a randomized controlled trial. J Hepatobiliary Pancreat Sci 21:509鈥?17
  91. Numata M, Godai T, Shirai J, Watanabe K, Inagaki D, Hasegawa S, Sato T, Oshima T, Fujii S, Kunisaki C, Yukawa N, Rino Y, Taguri M, Morita S, Masuda M (2014) A prospective randomized controlled trial of subcutaneous passive drainage for the prevention of superficial surgical site infections in open and laparoscopic colorectal surgery. Int J Colorectal Dis 29:353鈥?58
  92. Kaya E, Paksoy E, Ozturk E, Sigirli D, Bilgel H (2010) Subcutaneous closed-suction drainage does not affect surgical site infection rate following elective abdominal operations: a prospective randomized clinical trial. Acta Chir Belg 110:457鈥?62
  93. Baier PK, Gluck NC, Baumgartner U, Adam U, Fischer A, Hopt UT (2010) Subcutaneous Redon drains do not reduce the incidence of surgical site infections after laparotomy. A randomized controlled trial on 200 patients. Int J Colorectal Dis 25:639鈥?43
  94. Chowdri NA, Qadri SA, Parray FQ, Gagloo MA (2007) Role of subcutaneous drains in obese patients undergoing elective cholecystectomy: a cohort study. Int J Surg 5:404鈥?07
  95. Panici PB, Zullo MA, Casalino B, Angioli R, Muzii L (2003) Subcutaneous drainage versus no drainage after minilaparotomy in gynecologic benign conditions: a randomized study. Am J Obstet Gynecol 188:71鈥?5
  96. Gallup DC, Gallup DG, Nolan TE, Smith RP, Messing MF, Kline KL (1996) Use of a subcutaneous closed drainage system and antibiotics in obese gynecologic patients. Am J Obstet Gynecol 175:358鈥?61
  97. Loong RL, Rogers MS, Chang AM (1988) A controlled trial on wound drainage in caesarean section. Aust N Z J Obstet Gynaecol 28:266鈥?69
  98. Shaffer D, Benotti PN, Bothe A Jr, Jenkins RL, Blackburn GL (1987) A prospective, randomized trial of abdominal wound drainage in gastric bypass surgery. Ann Surg 206:134鈥?37
  99. Ali J, Serrette C, Khan TA (1983) The effect of abdominal binders on postoperative pulmonary function. Infect in Surg 2:875鈥?81
  100. Fagevik Ols茅n M, Josefson K, Wiklund M (2009) Evaluation of abdominal binder after major upper gastrointestinal surgery. Adv in Physiother 11:104鈥?10
  101. Larson CM, Ratzer ER, Davis-Merritt D, Clark JR (2009) The effect of abdominal binders on postoperative pulmonary function. Am Surg 75:169鈥?71
  102. Cheifetz O, Lucy SD, Overend TJ, Crowe J (2010) The effect of abdominal support on functional outcomes in patients following major abdominal surgery: a randomized controlled trial. Physiother Can 62:242鈥?53
  103. Clay L, Gunnarsson U, Franklin KA, Strig氓rd K (2014) Effect of an elastic girdle on lung function, intra-abdominal pressure, and pain after midline laparotomy: a randomized controlled trial. Int J Colorectal Dis 29:715鈥?21
  104. Timmermans L, de Goede B, Eker HH, van Kempen BJ, Jeekel J, Lange JF (2013) Meta-analysis of primary mesh augmentation as prophylactic measure to prevent incisional hernia. Dig Surg 30:401鈥?09
  105. Abo-Ryia MH, El-Khadrawy OH, Abd-Allah HS (2013) Prophylactic preperitoneal mesh placement in open bariatric surgery: a guard against incisional hernia development. Obes Surg 23:1571鈥?574
  106. Caro-Tarrago A, Olona Casas C, Jimenez Salido A, Duque Guilera E, Moreno Fernandez F, Vicente Guillen V (2014) Prevention of incisional hernia in midline laparotomy with an onlay mesh: a randomized clinical trial. World J Surg 38:2223鈥?230
  107. Guti茅rrez de la Pena C, Medina Achirica C, Dominguez-Adame E, Medina Diez J (2003) Primary closure of laparotomies with high risk of incisional hernia using prosthetic material: analysis of usefulness. Hernia 7:134鈥?36
  108. Strzelczyk JM, Szymanski D, Nowicki ME, Wilczynski W, Gaszynski T, Czupryniak L (2006) Randomized clinical trial of postoperative hernia prophylaxis in open bariatric surgery. Br J Surg 93:1347鈥?350
  109. El-Khadrawy OH, Moussa G, Mansour O, Hashish MS (2009) Prophylactic prosthetic reinforcement of midline abdominal incisions in high-risk patients. Hernia 13:267鈥?74
  110. Bevis PM, Windhaber RA, Lear PA, Poskitt KR, Earnshaw JJ, Mitchell DC (2010) Randomized clinical trial of mesh versus sutured wound closure after open abdominal aortic aneurysm surgery. Br J Surg 97:1497鈥?502
  111. Pans A, Elen P, Desaive C, Andre C (1998) Long-term results of polyglactin mesh for the prevention of incisional hernias in obese patients. World J Surg 22:479鈥?83
  112. Llaguna OH, Avgerinos DV, Nagda P, Elfant D, Leitman IM, Goodman E (2011) Does prophylactic biologic mesh placement protect against the development of incisional hernia in high-risk patients? World J Surg 35:1651鈥?655
  113. Arma帽anzas L, Ruiz-Tovar J, Arroyo A, Garc铆a-Peche P, Arma帽anzas E, Diez M, Galindo I, Calpena R (2014) Prophylactic mesh vs suture in the closure of the umbilical trocar site after laparoscopic cholecystectomy in high-risk patients for incisional hernia. A randomized clinical trial. J Am Coll Surg 218:960鈥?68
  114. Bhoyrul S, Payne J, Steffes B, Swanstrom L, Way LW (2000) A randomized prospective study of radially expanding trocars in laparoscopic surgery. J Gastrointest Surg 4:392鈥?97
  115. Bonjer HJ, Hazebroek EJ, Kazemier G, Giuffrida MC, Meijer WS, Lange JF (1997) Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg 84:599鈥?02
  116. Bowrey DJ, Blom D, Crookes PF, Bremner CG, Johansson JL, Lord RV, Hagen JA, DeMeester SR, DeMeester TR, Peters JH (2001) Risk factors and the prevalence of trocar site herniation after laparoscopic fundoplication. Surg Endosc 15:663鈥?66
  117. Bunting DM (2010) Port-site hernia following laparoscopic cholecystectomy. JSLS 14:490鈥?97
  118. Chiu CC, Lee WJ, Wang W, Wei PL, Huang MT (2006) Prevention of trocar-wound hernia in laparoscopic bariatric operations. Obes Surg 16:913鈥?18
  119. Clark LH, Soliman PT, Odetto D, Munsell MF, Schmeler KM, Fleming N, Westin SN, Nick AM, Ramirez PT (2013) Incidence of trocar site herniation following robotic gynecologic surgery. Gynecol Oncol 131:400鈥?03
  120. Comajuncosas J, Hermoso J, Gris P, Jimeno J, Orbeal R, Vallverd煤 H, L贸pez Negre JL, Urgell茅s J, Estalella L, Par茅s D (2014) Risk factors for umbilical trocar site incisional hernia in laparoscopic cholecystectomy: a prospective 3-year follow-up study. Am J Surg 207:1鈥?
  121. Delmonaco P, Cirocchi R, La Mura F, Morelli U, Migliaccio C, Napolitano V, Trastulli S, Farinella E, Giuliani D, Desol A, Milani D, Di Patrici MS, Spizzirri A, Bravetti M, Sciannameo V, Avenia N, Sciannameo F (2011) Trocarsite hernia after laparoscopic colectomy: a case report and literature review. ISRN Surgery 2011:725601
  122. Eid GM, Collins J (2005) Application of a trocar wound closure system designed for laparoscopic procedures in morbidly obese patients. Obes Surg 15:871鈥?73
  123. Erdas E, Dazzi C, Secchi F, Aresu S, Pitzalis A, Barbarossa M, Garau A, Murgia A, Contu P, Licheri S, Pomata M, Farina G (2012) Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: a long-term follow-up study. Hernia 16:431鈥?37
  124. Feste JR, Bojahr B, Turner DJ (2000) Randomized trial comparing a radially expandable needle system with cutting trocars. JSLS 4:11鈥?5
  125. Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T (2011) Low risk of trocar site hernia repair 12聽years after primary laparoscopic surgery. Surg Endosc 25:3678鈥?682
  126. Holzinger F, Klaiber C (2002) Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery. Chirurg 73:899鈥?04
  127. Hussain A, Mahmood H, Singhal T, Balakrishnan S, Nicholls J, El-Hasani S (2009) Long-term study of port-site incisional hernia after laparoscopic procedures. JSLS 13:346鈥?49
  128. Johnson WH, Fecher AM, McMahon RL, Grant JP, Pryor AD (2006) VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients. Surg Endosc 20:1584鈥?586
  129. Kadar N, Reich H, Liu CY, Manko GF, Gimpelson R (1993) Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 168:1493鈥?495
  130. Leibl BJ, Schmedt CG, Schwarz J, Kraft K, Bittner R (1999) Laparoscopic surgery complications associated with trocar tip design: review of literature and own results. J Laparoendosc Adv Surg Tech A 9:135鈥?40
  131. Mayol J, Garcia-Aguilar J, Ortiz-Oshiro E, De-Diego Carmona JA, Fernandez-Represa JA (1997) Risks of the minimal access approach for laparoscopic surgery: multivariate analysis of morbidity related to umbilical trocar insertion. World J Surg 21:529鈥?33
  132. Moran DC, Kavanagh DO, Sahebally S, Neary PC (2012) Incidence of early symptomatic port-site hernia: a case series from a department where laparoscopy is the preferred surgical approach. Ir J Med Sci 181:463鈥?66
  133. Moreno-Sanz C, Picazo-Yeste JS, Manzanera-D铆az M, Herrero-Bogajo ML, Cortina-Oliva J, Tadeo-Ruiz G (2008) Prevention of trocar site hernias: description of the safe port plug technique and preliminary results. Surg Innov 15:100鈥?04
  134. S谩nchez-Pernaute A, P茅rez-Aguirre E, Garc铆a Botella A, Rodr铆guez L, Antona EM, Cabeza J, Valladolid DJ, Rubio MA, Delgado I, Torres A (2008) Prophylactic closure of trocar orifices with an intraperitoneal mesh (ventralex) in laparoscopic bariatric surgery. Obes Surg 18:1489鈥?491
  135. Schmedt CG, Leibl BJ, D盲ubler P, Bittner R (2001) Access-related complications鈥攁n analysis of 6023 consecutive laparoscopic hernia repairs. Min Invas Ther & Allied Technol 10:23鈥?0
  136. Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M (2004) Trocar site hernia. Arch Surg 139:1248鈥?256
  137. Uslu HY, Erkek AB, Cakmak A, Kepenekci I, Sozener U, Kocaay FA, Turkcapar AG, Kuterdem E (2007) Trocar site hernia after laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A 17:600鈥?03
  138. Garg P, Thakur JD, Garg M, Menon GR (2012) Single-incision laparoscopic cholecystectomy vs conventional laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials. J Gastrointest Surg 16:1618鈥?628
  139. Trastulli S, Cirocchi R, Desiderio J, Guarino S, Santoro A, Parisi A, Noya G, Boselli C (2013) Systematic review and meta-analysis of randomized clinical trials comparing single-incision versus conventional laparoscopic cholecystectomy. Br J Surg 100:191鈥?08
  140. Milas M, Deve膽ija S, Trkulja V (2014) Single incision versus standard multiport laparoscopic cholecystectomy: up-dated systematic review and meta-analysis of randomized trials. Surgeon 12:271鈥?89
  141. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS (1996) Evidence based medicine: what it is and what it isn鈥檛. BMJ 312:71鈥?2
  142. van Ramshorst GH, Nieuwenhuizen J, Hop WC, Arends P, Boom J, Jeekel J, Lange JF (2010) Abdominal wound dehiscence in adults: development and validation of a risk model. World J Surg 34:20鈥?7
  143. van Ramshorst GH, Klop B, Hop WCJ, Israelsson LA, Lange JF (2013) Closure of midline laparotomies by means of small stitches: practical aspects of a new technique. Surg Technol Int 23:34鈥?8
  144. Muysoms F, Campanelli G, Champault GG, deBeaux AC, Dietz UA, Jeekel J, Klinge U, K枚ckerling F, Mandala V, Montgomery A, Morales Conde S, Puppe F, Simmermacher RKJ, 艢mieta艅ski M, Miserez M (2012) EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair. Hernia 16:239鈥?50
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Abdominal Surgery
  
• 出版者：Springer Paris
• ISSN：1248-9204

文摘

Background The material and the surgical technique used to close an abdominal wall incision are important determinants of the risk of developing an incisional hernia. Optimising closure of abdominal wall incisions holds a potential to prevent patients suffering from incisional hernias and for important costs savings in health care. Methods The European Hernia Society formed a Guidelines Development Group to provide guidelines for all surgical specialists who perform abdominal incisions in adult patients on the materials and methods used to close the abdominal wall. The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and methodological guidance was taken from Scottish Intercollegiate Guidelines Network (SIGN). The literature search included publications up to April 2014. The guidelines were written using the AGREE II instrument. An update of these guidelines is planned for 2017. Results For many of the Key Questions that were studied no high quality data was detected. Therefore, some strong recommendations could be made but, for many Key Questions only weak recommendations or no recommendation could be made due to lack of sufficient evidence. Recommendations To decrease the incidence of incisional hernias it is strongly recommended to utilise a non-midline approach to a laparotomy whenever possible. For elective midline incisions, it is strongly recommended to perform a continuous suturing technique and to avoid the use of rapidly absorbable sutures. It is suggested using a slowly absorbable monofilament suture in a single layer aponeurotic closure technique without separate closure of the peritoneum. A small bites technique with a suture to wound length (SL/WL) ratio at least 4/1 is the current recommended method of fascial closure. Currently, no recommendations can be given on the optimal technique to close emergency laparotomy incisions. Prophylactic mesh augmentation appears effective and safe and can be suggested in high-risk patients, like aortic aneurysm surgery and obese patients. For laparoscopic surgery, it is suggested using the smallest trocar size adequate for the procedure and closure of the fascial defect if trocars larger or equal to 10聽mm are used. For single incision laparoscopic surgery, we suggest meticulous closure of the fascial incision to avoid an increased risk of incisional hernias.