Autologous tissue reconstruction and material selection in abdominal wall hernia repair
10.3760/cma.j.cn113855-20250728-00379
- VernacularTitle:腹壁疝修复的自体组织重建与材料选择
- Author:
Jianxiong TANG
1
;
Shaojie LI
1
;
Shaochun LI
1
Author Information
1. 复旦大学附属华东医院普外科，上海 200040
- Publication Type:Journal Article
- Keywords:
Hernia, ventral;
Herniorrhaphy;
Tissue reconstruction;
Mesh repair;
Synthetic mesh;
Biological mesh
- From:
Chinese Journal of General Surgery
2025;40(9):673-676
- CountryChina
- Language:Chinese
-
Abstract:
Modern abdominal wall hernia repair has evolved into a systematic engineering project aimed at "functional abdominal wall reconstruction", the success of which largely depends on the deep integration of autologous tissue reconstruction and mesh reinforcement. As the foundation of repair, autologous tissue reconstruction involves meticulous anatomical restoration, tension-control techniques (e.g., component separation technique, transversus abdominis release), and neurovascular protection to restore the integrity of the abdominal wall's layered structures, thereby creating optimal conditions for mesh reinforcement. The selection of mesh materials should follow individualized principles: large-pore lightweight polypropylene mesh is preferred in clean surgeries to achieve a balance between mechanical support and biocompatibility; in contaminated or infected environments, biological meshes, owing to their inherent anti-infection properties and regenerative potential, become the optimal choice for such patients; and for massive defects, a combination of tissue separation techniques and composite mesh strategies is required to balance mechanical demands and biological infection risks. A well-designed repair plan should comprehensively consider patient factors (comorbidities, age), characteristics (size of defect, contamination level, abdominal wall condition), and surgical approach (mesh placement layer), achieving synergistic restoration of anatomical structure, mechanical force distribution, and physiological function, ultimately improving long-term patient outcomes.
