Akçakaya Adem, Alimoğlu Orhan, Ozkan Orhan Veli, Sahin Mustafa
S.S.K. Vakif Gureba Teaching Hospital, 1st Surgical Clinic, Istanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2003 Oct;9(4):246-9.
In this study we present our experience in the surgical treatment of complicated Meckel's diverticulum.
The data of eight patients who underwent surgery due to complications of Meckel's diverticulum between 1994-2001 was retrospectively assessed.
There were six males and two females with a mean age of 31 years (range 13 to 65). Preoperative diagnoses were acute surgical abdomen in six and incarcerated inguinal hernias in two patients. Intraoperative diagnoses were as follows; Littre's hernia in two, diverticulitis in two, perforation of the diverticulum in one and intestinal obstruction in three patients (there was a band extending from diverticulum to the umbilicus in two patients and a mesodiverticular band in the remaining one). While diverticulectomies were performed in five patients, three had small bowel resections. The mean diameter of the diverticula was 2.3 cm (range 2 to 4) and the mean length was 3.5 cm (range 3 to 8). Postoperative intestinal obstruction was observed in one patient who had underwent diverticulectomy and subsequently a small bowel resection was performed.
Being aware of the complications of the Meckel's diverticulum is necessary in correct timing of the surgery and selecting the proper incision in patients with acute abdomen. This will result in decreased morbidity.
在本研究中，我们介绍了在复杂梅克尔憩室手术治疗方面的经验。
回顾性评估了1994年至2001年间因梅克尔憩室并发症接受手术的8例患者的数据。
6例男性，2例女性，平均年龄31岁（范围13至65岁）。术前诊断为6例急性急腹症和2例嵌顿性腹股沟疝。术中诊断如下：2例利氏疝，2例憩室炎，1例憩室穿孔，3例肠梗阻（2例患者有一条从憩室延伸至脐部的索带，其余1例有一条憩室系膜带）。5例患者行憩室切除术，3例行小肠切除术。憩室平均直径2.3 cm（范围2至4 cm），平均长度3.5 cm（范围3至8 cm）。1例行憩室切除术的患者术后出现肠梗阻，随后行小肠切除术。
了解梅克尔憩室的并发症对于急腹症患者手术时机的正确把握和合适切口的选择是必要的。这将降低发病率。
