Tenaglia L, Iuppa A, Trovato S, Di Stefano C, Iuppa G, Minona E, Vacirca S, Scilletta S, Catania G
Università degli Studi di Catania, Azienda Ospedaliera Vittorio Emanuele, Dipartimento di Chirurgia Generale, U.O. di Clinica Chirurgica, Cattedra di Chirurgia Generalel, Catania.
G Chir. 2008 Oct;29(10):417-20.
The epigastric hernia represents a rare surgical affection, sometimes insidious, whose pathogenesis has been discussed for a long time, revealing, in the course of the years, multiple predisposing and responsible factors of its appearance. From our experience and the data reported in the literature, it is clear that a standard surgery does not exist for this pathology, and it is often necessary to perform preliminary uncommon diagnostic exams. Our retrospective study consists in the analysis of the surgical treatments executed, from 2003 to 2006, on 37 patients suffered from epigastric hernia, for everyone of which, on the basis of the clinical features, of the preoperative diagnostic results and of the characteristics of the hernia defect, it has been encouraged a personalized surgical procedure,obtaining therefore, for the same pathology, different treatment protocols (open or laparoscopic procedures, ordinary hospital stay or day-surgery, prosthetic or not surgical repair).
上腹疝是一种罕见的外科疾病，有时较为隐匿，其发病机制长期以来一直存在争议，多年来揭示了其出现的多种诱发因素和相关因素。根据我们的经验以及文献报道的数据，很明显针对这种病症不存在标准手术方式，而且常常需要进行一些不常见的初步诊断检查。我们的回顾性研究包括对2003年至2006年期间对37例上腹疝患者实施的手术治疗进行分析，对于每一位患者，根据临床特征、术前诊断结果和疝缺损的特点，都采用了个性化的手术方法，因此，对于同一病症获得了不同的治疗方案（开放或腹腔镜手术、普通住院或日间手术、使用假体或不进行手术修复）。
