Comman Andreas, Brunner Stefan M, Gaetzschmann Peter, Kipf Bianca, Baierl Wolfgang, Behrend Matthias
Klinikum Deggendorf, Klinik für Viszeral, Thorax, und Gefässchirurgie, Deggendorf, Germany.
Surg Laparosc Endosc Percutan Tech. 2008 Aug;18(4):409-13. doi: 10.1097/SLE.0b013e31816f7742.
Littre's hernias in the region of a femoral hernial orifice have been described in numerous cases in the literature. Open inguinal or femoral access was selected for all surgical procedures. We are describing the first case of an incarcerated Littre's hernia in the region of a femoral hernial orifice treated by means of transperitoneal preperitoneal hernia repair with simultaneous laparoscopic resection of the diverticulum. On the basis of the example, it is shown that the laparoscopic procedure is safe and efficient when performed by an experienced laparoscopic surgeon, even for treating incarcerated hernias, including the resection of necrotic tissue.
文献中已描述了许多例股疝孔区域的里脱疝。所有手术均选择开放腹股沟或股部入路。我们正在描述首例通过经腹膜前疝修补术同时腹腔镜切除憩室治疗的股疝孔区域嵌顿性里脱疝病例。基于该病例表明，经验丰富的腹腔镜外科医生进行腹腔镜手术是安全有效的，即使是治疗嵌顿疝，包括切除坏死组织。
