Yamada Takashi, Kasamatsu Hajime, Fujita Sadanori, Mori Hiroshi
Department of Obstetrics and Gynecology, Hirakata City Hospital, Osaka, Japan.
JSLS. 2002 Jul-Sep;6(3):221-3.
Hemoperitoneum after inguinal hernia repair, with the exception of laparoscopic herniorrhaphy, is extremely rare. No other case of hemoperitoneum after traditional open inguinal hernia repair has been reported in the English-language literature. A 39-year-old woman had undergone inguinal hernia repair with the Bassini repair technique. Lower abdominal pain and anemia occurred on postoperative day 1. Laparoscopy was performed and revealed hemoperitoneum caused as a complication of inguinal hernia repair. The abdominal cavity was thoroughly washed with saline solution, and the aspirated blood was processed and reinfused. Laparoscopy for hemoperitoneum as a complication after inguinal hernia repair was very useful for both diagnosis and treatment.
腹股沟疝修补术后出现腹腔积血极为罕见,但腹腔镜疝修补术除外。英文文献中未报道过传统开放性腹股沟疝修补术后出现腹腔积血的其他病例。一名39岁女性接受了采用巴西尼修补术的腹股沟疝修补术。术后第1天出现下腹部疼痛和贫血。进行了腹腔镜检查,发现腹腔积血是腹股沟疝修补术的并发症所致。用生理盐水彻底冲洗腹腔,并对吸出的血液进行处理后回输。腹腔镜检查对于诊断和治疗腹股沟疝修补术后作为并发症的腹腔积血非常有用。