Chyn'ba O V, Manoĭlo M V, Iatsentiuk V H, Kirsanov O O
Klin Khir. 2009 Apr(4):11-4.
Own experience was presented of surgical treatment of 22 patients, suffering abdominal wall hernia, in whom processus vermiformis (PV) was revealed in a hernial sac during herniotomy performance. In such cases PV was macroscopically not changed or had various grades of change--from hyperemia, cicatricial thickening and involvement into adhesive process to its pronounced inflammation and destruction. Hernioplasty in conjunction with appendectomy was performed in 11 patients, in 10 of them--allohernioplasty, in 1--plasty, using tissues of their own. According to histologic investigations data the expediency of appendectomy performance in a planned order in patients while pathologic changes in PV present was confirmed. Late results of surgical treatment were studied up in 19 (86%) patients. Hernial recurrence was not observed.
介绍了对22例腹壁疝患者的手术治疗经验，这些患者在疝修补术中疝囊内发现了阑尾。在这些病例中，阑尾在宏观上未发生改变或有不同程度的变化——从充血、瘢痕增厚和卷入粘连过程到明显的炎症和破坏。11例患者进行了疝修补术并联合阑尾切除术，其中10例采用异体疝修补术，1例采用自体组织修补术。根据组织学研究数据，证实了在阑尾存在病理改变的患者中按计划顺序进行阑尾切除术的合理性。对19例（86%）患者的手术治疗远期结果进行了研究。未观察到疝复发。
