Sowula Aleksander, Groele Henryk
Oddziału Chirurgii Ogólnej Szpitala im. L. Rydygiera w Katowicach.
Wiad Lek. 2003;56(1-2):40-4.
The aim of the study is to present problems connected with a diagnosis and treatment of incarcerated abdominal hernia. In the years 1990-2001, 142 patients with incarcerated abdominal hernia were admitted to hospital. In this group 112 patients were urgently operated on. These were 25 femoral hernias, 22 inguinal hernias, 23 umbilical hernias, 41 postoperative hernias and 1 internal hernia.
The patients presented on clinical picture gastrointestinal tract obstruction or peritonitis. Postoperative mortality was 5.4%, however, in the group of patients with incarcerated postoperative hernias 17.5%.
Treatment of incarcerated abdominal hernia is a serious surgical problem. Operations are marked by high mortality due to the late diagnosis of incarceration and further postoperative complications.
本研究的目的是提出与嵌顿性腹疝的诊断和治疗相关的问题。在1990年至2001年期间,142例嵌顿性腹疝患者入院。该组中有112例患者接受了急诊手术。其中有25例股疝、22例腹股沟疝、23例脐疝、41例术后疝和1例内疝。
患者表现出胃肠道梗阻或腹膜炎的临床表现。术后死亡率为5.4%,然而,在嵌顿性术后疝患者组中为17.5%。
嵌顿性腹疝的治疗是一个严重的外科问题。由于嵌顿诊断延迟及术后进一步的并发症,手术的死亡率很高。