Preiss A, Herbig B, Dörner A
Department of Surgery, Diakonie Hospital Alten Eichen, Jütländer Alle 48, 22527, Hamburg, Germany.
Hernia. 2006 Oct;10(5):430-3. doi: 10.1007/s10029-006-0114-2. Epub 2006 Jul 21.
Pelvic floor hernias are extremely rare. This study presents a successfully treated case of primary perineal hernia and takes a look at the existing literature.
The case of a 75-year-old female patient with a great perineal hernia is presented. Diagnosis was secured by magnetic resonance tomography. The pelvic defect was successfully treated by primary suture with Prolene.
The literature shows many different approaches for treatment of perineal hernia, such as open or laparoscopic mesh repair, and perineal, abdominal or combined access. Our case confirms that primary closure of the hernial orifice through an abdominal approach is also feasible.
盆底疝极为罕见。本研究展示了一例成功治疗的原发性会阴疝病例,并审视了现有文献。
报告了一名75岁患有巨大会阴疝的女性患者。通过磁共振断层扫描确诊。采用普理灵进行一期缝合成功修复了盆腔缺损。
文献显示了多种治疗会阴疝的不同方法,如开放或腹腔镜补片修补术,以及经会阴、经腹或联合入路。我们的病例证实,经腹入路对疝孔进行一期缝合也是可行的。