Pans A, Plumacker A, Legrand M, Mohdad F, Dubois J, Meurisse M, Honoré P, Desaive C, Jacquet N
Service de Chirurgie digestive, C.H.U., Liège, Belgique.
Acta Chir Belg. 1991 Sep-Oct;91(5):223-6.
For the last four years, 17 inguinal and femoral strangulated hernias have been treated at our institution by a median subumbilical incision. In all cases, a prosthesis has been placed by preperitoneal approach. An intestinal resection for irreversible necrosis has been performed in five patients. This procedure gives good control of the herniated organs, allows easy intestinal resection and good management of unforeseeable situations. The surgical exploration of the other hernial orifices and, if needed, their simultaneous treatment can be performed. Intestinal resection does not represent, in our opinion, an absolute contra-indication to the implantation of a prosthesis. In our study, the morbidity does not seem to be increased.
在过去四年中，我院通过脐下正中切口治疗了17例腹股沟和股部绞窄性疝。所有病例均采用腹膜前入路放置假体。五名患者因肠管不可逆坏死进行了肠切除。该手术能很好地控制疝出器官，便于进行肠切除，并能很好地处理不可预见的情况。可以对其他疝孔进行手术探查，如有必要，可同时进行处理。我们认为，肠切除并非假体植入的绝对禁忌证。在我们的研究中，发病率似乎并未增加。
