腹腔镜补片修补术后膀胱穹隆部腹股沟疝复发：一例报告
Recurrence of an inguinal hernia containing the dome of the bladder following laparoscopic repair with mesh: A case report.
作者信息
Konik Ryan D, Narh-Martey Patrick, Bogen Gregg
机构信息
Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States.
Department of Surgery Northside Medical Center, 500 Gypsy Lane, Youngstown, OH 44501, United States.
出版信息
Int J Surg Case Rep. 2016;25:218-20. doi: 10.1016/j.ijscr.2016.06.050. Epub 2016 Jul 1.
INTRODUCTION
A sliding hernia is a rare type of inguinal hernia in which the hernia sac is partially formed by the wall of a viscus, such as the sigmoid colon, bladder, cecum, or appendix. Sliding hernias involving the bladder often present with obstructive urinary symptoms that could potential lead to serious complications.
CASE PRESENTATION
In this case, we present a 37-year-old male with a recurrent sliding hernia containing the dome of the bladder after prior laparoscopic repair of a direct inguinal hernia with mesh.
DISCUSSION
A TAPP approach is preferred over a TEP approach in the laparoscopic repair of a sliding hernia; however, an open Lichenstein repair should be used in cases of recurrent hernias with severe complications, such as extensive adhesions or incarceration.
CONCLUSION
The surgical approach for repair of a sliding hernia must be individualized based on the patient's clinical presentation and diagnostic findings.
引言
滑动疝是一种罕见的腹股沟疝，其疝囊部分由脏器壁构成，如乙状结肠、膀胱、盲肠或阑尾。涉及膀胱的滑动疝常表现为梗阻性尿路症状，可能导致严重并发症。
病例报告
在此病例中，我们呈现一名37岁男性，其在先前经腹腔镜用补片修补腹股沟直疝后出现复发性滑动疝，疝内容物为膀胱顶部。
讨论
在腹腔镜修补滑动疝时，经腹腔腹膜前修补（TAPP）方法优于全腹膜外修补（TEP）方法；然而，对于伴有严重并发症（如广泛粘连或嵌顿）的复发性疝，应采用开放式利chtenstein修补术。
结论
滑动疝修补的手术方法必须根据患者的临床表现和诊断结果进行个体化选择。
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