2017 hotspots review and future prospects of abdominal wall and hernia surgery / 中华胃肠外科杂志

ABSTRACT

Hernia and abdominal surgery keeps moving forward rapidly In 2017, lots of progress were achieved in etiology, material, and surgical technique. In etiology, TTN gene missense mutation was found in family members of indirect inguinal hernia. In material, a long-term slow-absorptive patch was present leading to a good choice of hernia therapy; application of 3D print for individual patch repair was expected. In surgical technique, efficacy of laparoscopic minimal invasive procedure or MILOS and eMILOS procedures was satisfactory in the treatment of complicated incisional hernia; tissue separation, patch placement and abdominal wall reconstruction by robotic surgery resulted in bigger operative space, faster postoperative recovery and lower morbidity of infection and seroma at operative site. In addition, there were more and more evidences to support that prophylactic use of patch in enterostomy can prevent the occurrence of postoperative parastomal hernia and incisional hernia. Domestic surgeons contributed mainly to the standardization of hernia surgery in 2017. This article reviews the hotspots of hernia and abdominal wall surgery in 2017, in the meantime, we prospect the progress in the near future.