Privitera A, Brancato G, Gandolfo L, Donati M, Cardì F
Unità Operativa di Chirurgia Generale I, Università di Catania.
Ann Ital Chir. 2001 Jul-Aug;72(4):455-8.
The authors report a case of a 51 year-old woman with spontaneous Grynfeltt's hernia. Computerized tomography accurately displayed the anatomy of the lumbar region, thus aiding diagnosis and treatment. A double layer polypropylene mesh was used for the repair, placed in the pre peritoneum and sutured to the margins of the hernial defect avoiding muscles and fascias. The use of a double layer prosthesis and reduction of tension on the suture line allow a sound repair, with minimal postoperative pain and immediate resumption of daily activities.
作者报告了一例51岁患有自发性格伦费尔特疝的女性病例。计算机断层扫描准确显示了腰椎区域的解剖结构，从而有助于诊断和治疗。采用双层聚丙烯网片进行修补，将其置于腹膜前并缝合至疝缺损边缘，避开肌肉和筋膜。使用双层假体以及减轻缝合线上的张力可实现可靠的修补，术后疼痛极小且可立即恢复日常活动。
