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伴有皮肤缺损的被忽视的切口疝中的妊娠子宫——一项临床挑战。

Gravid uterus in neglected incisional hernia with skin defect-a clinical challenge.

作者信息

Shirol S S, Kamat Vijay, Sanu Nagarj, Nayak Shubha, Shaikh Hina

机构信息

Department of Plastic Surgery, KIMS Hubli Vidyanagar, Hubli, 580032 Karnataka India.

出版信息

Indian J Surg. 2015 Apr;77(Suppl 1):172-3. doi: 10.1007/s12262-015-1237-4. Epub 2015 Mar 27.

DOI:10.1007/s12262-015-1237-4
PMID:25972686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4425796/
Abstract

UNLABELLED

Incisional hernia during pregnancy with whole of gravid uterus as the content of the hernia sac is a rare occurrence. When such hernia is associated with skin defect over the sac, the management gets complicated. Very few such cases are reported in the literature. There is no consensus on the management of these cases in the available literature. Here, we are reporting two such cases managed in different ways and reviewed the literature.

LEVEL OF EVIDENCE

Level V, Clinical cases.

摘要

未标注

孕期切口疝且疝囊内容物为整个妊娠子宫的情况罕见。当这种疝伴有疝囊上方皮肤缺损时，处理会变得复杂。文献中报道的此类病例极少。现有文献对于这些病例的处理尚无共识。在此，我们报告两例采用不同方式处理的此类病例并对文献进行综述。

证据级别

V级，临床病例。

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本文引用的文献

1
Herniated gravid uterus growing in an incisional hernia: study of three cases.妊娠子宫在切口疝内生长：三例病例研究
Hernia. 2016 Aug;20(4):633-6. doi: 10.1007/s10029-014-1291-z. Epub 2014 Aug 12.
2
Gravid uterus as a content of anterior abdominal wall incisional hernia.妊娠子宫作为前腹壁切口疝的内容物。
J Obstet Gynaecol. 2010;30(5):518-9. doi: 10.3109/01443615.2010.487578.
3
Herniated gravid uterus through an incisional hernia treated with the component separation technique.妊娠子宫疝出通过切口疝修补术的组件分离技术治疗。
Hernia. 2010 Feb;14(1):101-4. doi: 10.1007/s10029-009-0510-5. Epub 2009 May 13.
4
Evisceration of pregnant uterus through the incisional hernia site.经切口疝部位对妊娠子宫进行脏器去除术。
J Obstet Gynaecol Res. 2006 Jun;32(3):338-40. doi: 10.1111/j.1447-0756.2006.00406.x.
5
A case of herniated gravid uterus through a laparotomy scar.一例妊娠子宫经剖腹手术瘢痕处疝出的病例。
Indian J Med Sci. 2006 Apr;60(4):154-7.
6
Successful pregnancy outcome after cesarean section in a case of gravid uterus growing in an incisional hernia of the anterior abdominal wall.腹壁前壁切口疝合并妊娠子宫患者剖宫产术后成功的妊娠结局。
Indian J Med Sci. 2003 Nov;57(11):501-3.
7
Gravid uterus in an incisional hernia.妊娠子宫位于切口疝内。
J Obstet Gynaecol Res. 2001 Apr;27(2):77-9. doi: 10.1111/j.1447-0756.2001.tb01224.x.
8
Gravid uterus in an anterior abdominal wall hernia of a Nigerian woman.一名尼日利亚女性前腹壁疝合并妊娠子宫。
Int J Gynaecol Obstet. 1990 Aug;32(4):377-9. doi: 10.1016/0020-7292(90)90116-3.