Shipkov C D, Uchikov A P, Grigoriadis E
Department of Surgery, Medical University, Plovdiv, Bulgaria.
Hernia. 2004 May;8(2):155-7. doi: 10.1007/s10029-003-0177-2. Epub 2004 Mar 10.
The aim of this paper is to present a simple method for obturator hernia repair in two cases with strangulated obturator hernia.
The authors report on two cases of mechanical bowel obstruction due to incarcerated obturator hernia in elderly, thin women. Both patients presented with clinical and radiological signs of small bowel obstruction. Neither of them had the Howship-Romberg or Hannington-Kiff sign.
At laparotomy, incarcerated small bowel in a right-sided obturator hernia was observed in both patients. The small bowel was not necrotic, and no bowel resection was performed. The hernial defect was closed in two layers with interrupted and purse-string nonabsorbable sutures.
Obturator hernia is rare and difficult to diagnose. Often the diagnosis is reached only at laparotomy for small bowel obstruction. The double-layer repair with interrupted and purse-string nonabsorbable sutures could be useful, especially in emergency laparotomies for incarcerated obturator hernia.
本文旨在介绍一种针对两例绞窄性闭孔疝患者的闭孔疝修补简易方法。
作者报告了两例老年消瘦女性因闭孔疝嵌顿导致机械性肠梗阻的病例。两名患者均表现出小肠梗阻的临床及影像学征象。她们均未出现豪希普-罗姆伯格征或汉宁顿-基夫征。
剖腹手术时，两名患者均发现右侧闭孔疝中有嵌顿的小肠。小肠未坏死，未进行肠切除。用间断和荷包缝合的不可吸收缝线将疝缺损分两层关闭。
闭孔疝罕见且难以诊断。通常仅在因小肠梗阻行剖腹手术时才能确诊。采用间断和荷包缝合的不可吸收缝线进行双层修补可能有用，尤其是在因嵌顿性闭孔疝行急诊剖腹手术时。
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