Makama J G, Odigie V I, Yusufu L M D, Ameh N
Division of General Surgery, Department of Surgery Ahmadu Bello University Teaching Hospital, Shika-Zaria, Nigeria.
Ann Afr Med. 2007 Dec;6(4):197-9. doi: 10.4103/1596-3519.55696.
Herniated gravid uterus in an incisional hernia of the anterior abdominal wall is relatively rare. A 30-year-old house wife presented with a six month gravid uterus that had herniated through an incisional hernia of the anterior abdominal wall. She had non-operative management till term, when she then had elective lower caesarian section. Physiotherapy of the anterior abdominal wall muscles to improve their tone was done. She subsequently had keel's repair of the hernia. Aggressive physiotherapy of the anterior abdominal wall muscles followed by keel's repair may be an alternative surgical technique in patients with a moderate defect of incisional hernia.
妊娠子宫疝入腹壁切口疝相对少见。一名30岁家庭主妇，妊娠6个月时子宫经腹壁切口疝突出。她在足月前接受非手术治疗，之后择期行低位剖宫产。对腹壁肌肉进行物理治疗以改善其张力。随后她接受了疝的Keel修补术。对于切口疝中度缺损的患者，积极进行腹壁肌肉物理治疗后再行Keel修补术可能是一种替代手术技术。
