Lee Sung Ryul
Department of Surgery, Damsoyu Hospital , Seoul, Republic of Korea.
J Laparoendosc Adv Surg Tech A. 2017 Nov;27(11):1192-1197. doi: 10.1089/lap.2017.0188. Epub 2017 Jun 20.
Inguinal hernias may be direct or indirect, and supravesical hernias, a subtype of inguinal hernias, are often mistaken as direct hernias as their symptoms are similar. The purpose of this study was to describe the characteristics of supravesical hernias and to introduce a minimally invasive surgical method as a treatment for supravesical hernias.
Thirty-seven patients with supravesical hernias were treated using laparoscopic herniorrhaphy and wall defect suture with a mesh implant from September 2012 to December 2016 at Damsoyu hospital, Seoul, Korea. Patient characteristics and surgical outcomes were retrospectively evaluated.
All 37 patients were men with external supravesical hernias. The mean age was 55.3 (range 32-79) years; 23 patients had right-sided, 12 had left-sided, and 2 had bilateral hernias. Comorbidities included lipoma (7/37), contralateral indirect hernia (1/37), and contralateral direct hernia (14/37). No recurrences were reported at the end of the study period.
Laparoscopic transabdominal defect closure with a mesh implant herniorrhaphy seems to be an effective, minimally invasive treatment option for supravesical hernia.
腹股沟疝可分为直疝和斜疝，膀胱上疝作为腹股沟疝的一种亚型，因其症状相似，常被误诊为直疝。本研究的目的是描述膀胱上疝的特征，并介绍一种微创外科手术方法来治疗膀胱上疝。
2012年9月至2016年12月，韩国首尔Damsoyu医院对37例膀胱上疝患者采用腹腔镜疝修补术及带网片植入的腹壁缺损缝合术进行治疗。对患者的特征和手术结果进行回顾性评估。
37例患者均为男性，均为外侧膀胱上疝。平均年龄为55.3岁（范围32 - 79岁）；23例为右侧疝，12例为左侧疝，2例为双侧疝。合并症包括脂肪瘤（7/37）、对侧斜疝（1/37）和对侧直疝（14/37）。在研究期末未报告复发情况。
腹腔镜经腹缺损闭合加网片植入疝修补术似乎是治疗膀胱上疝的一种有效、微创的治疗选择。
