Anorectal Physicians Branch of the Chinese Medical Doctor Association
Online: February 11,2025 DOI: 10.7659/j.issn.1005-6947.240661
Abstract:Intestinal obstruction is one of the most common and challenging acute abdominal conditions in general surgery, and its prevention and treatment have always been a key focus in clinical practice. The advent of ileus tubes has provided a new approach to the treatment, prevention, and auxiliary diagnosis of intestinal obstruction. It has significantly improved the success rate of non-surgical treatment and played an essential role in preventing recurrence and assisting in diagnosis. In recent years, with the widespread application of the ileus tubes, an increasing number of hospitals have begun using this treatment method. However, there are still considerable controversies regarding to the indications of ileus fubes, management of complications, efficacy evaluation, and the timing of surgical intervention. Given the lack of authoritative reference standards for the standardized use of ileus tubes and the absence of relevant guidelines or consensus to guide their clinical practice at home and abroad, experts in this field in our country have formed an editorial panel at the initiative of the Anorectal Physicians Branch of the Chinese Medical Doctor Association, and the Bowel Obstruction Branch of the Hunan Province Geriatric Society. Based on the latest evidence from clinical practice and relevant research findings, the expert panel developed the "Expert consensus on clinical application of ileus tubes in prevention and treatment of bowel obstruction." This consensus aims to provide guidance for physicians in general surgery, gastroenterology, interventional medicine, and related specialties, hoping to promote the standardized clinical application of ileus tubes in China.
Hernia , Abdominal Wall Surgery Group of Chinese Society of Surgery of Chinese Medical Association , Expert Working Group of Hernia , Abdominal Wall of Surgeons Society of Chinese Medical Doctor Association
Online: January 26,2025 DOI: 10.7659/j.issn.1005-6947.250046
Abstract:Incisional hernia is an iatrogenic condition characterized by diverse forms, significant variability, and complex classification. It presents challenges and uncertainties in clinical treatment. Significant progress has been made in the diagnosis of incisional hernias, surgical techniques, and the development of prosthetic materials. Building upon the "Guidelines for the Diagnosis and Treatment of Abdominal Wall Incisional Hernia (2018 Edition)," domestic experts in hernia and abdominal wall surgery have conducted discussions and revisions. These updates, guided by evidence-based medical evaluation standards, address issues such as complex abdominal wall conditions, abdominal wall dysfunction, principles of hernia treatment, methods for defect closure, perioperative management, and follow-up and patient education. The aim is to further enhance the diagnostic and treatment standards for abdominal wall incisional hernias in China.
Hernia , Abdominal Wall Surgery Group of Chinese Society of Surgery of Chinese Medical Association , Expert Working Group of Hernia , Abdominal Wall of Surgeons Society of Chinese Medical Doctor Association
Online: January 26,2025 DOI: 10.7659/j.issn.1005-6947.250045
Abstract:In recent years, the diagnosis and treatment of inguinal hernia have become increasingly refined, with individualized treatment plans gaining greater standardization. Building on the "Guidelines for the Diagnosis and Treatment of Adult Inguinal Hernias (2018 Edition)," over 70 experts from related fields conducted extensive discussions and revised the guidelines based on evidence-based medical evaluation standards. This updated edition focuses on advancements in the diagnosis and treatment of adolescent inguinal hernias, scrotal hernias, management of hernia-related complications, and postoperative education and follow-up. It aims to provide a scientific and standardized reference for domestic medical institutions and healthcare professionals, further enhancing the quality and consistency of inguinal hernia management.