Department of Surgery, Center for Minimally Invasive Surgery, University of Kentucky College of Medicine, Lexington, KY 40536-0298, USA.
Hernia. 2010 Feb;14(1):97-100. doi: 10.1007/s10029-009-0509-y. Epub 2009 May 6.
Sciatic hernia is a rare pelvic floor hernia that occurs through the greater or lesser sciatic foramen. Sciatic hernias often present as pelvic pain, particularly in women, and diagnosis can be difficult. Transabdominal and transgluteal operative approaches, including laparoscopic repair, have been reported. We show a laparoscopic technique using a plug of human allogeneic dermal matrix and lightweight polypropylene extraperitoneal patch avoiding fixation. The patient had significant improvement of her symptoms and no complications at 12 months follow-up.
坐骨疝是一种罕见的盆底疝，通过较大或较小的坐骨孔发生。坐骨疝常表现为骨盆疼痛，尤其是在女性中，诊断较为困难。经腹和经臀手术入路，包括腹腔镜修复，已有报道。我们展示了一种使用人同种异体真皮基质塞和轻质聚丙烯腹膜外补片的腹腔镜技术，避免了固定。患者在 12 个月的随访中症状显著改善，无并发症。
