儿童嵌顿性间接疝采用“跨内环”腹股沟斜切口治疗。
Treatment for incarcerated indirect hernia with "Cross-Internal Ring" inguinal oblique incision in children.
作者信息
Yan Xue-Qiang, Yang Jun, Zheng Nan-Nan, Kuang Hou-Fang, Duan Xu-Fei, Bian Hong-Qiang
机构信息
Department of Pediatric Surgery, Tongji Medical College, Wuhan Children's Hospital, Huazhong University of Science and Technology, Wuhan 430016, China.
出版信息
J Res Med Sci. 2017 Sep 26;22:106. doi: 10.4103/jrms.JRMS_318_16. eCollection 2017.
BACKGROUND
This study aims to evaluate the utility of the "Cross-Internal Ring" inguinal oblique incision for the surgical treatment of incarcerated indirect hernia (IIH) complicated with severe abdominal distension.
MATERIALS AND METHODS
Patients of IIH complicated with severe abdominal distension were reviewed retrospectively. All patients received operation through the "Cross-Internal Ring" inguinal oblique incision.
RESULTS
There were totally 13 patients were included, male to female ratio was 9-4. The time for patients to resume oral feeding varying from 2 to 5 days after operation, no complications include delayed intestinal perforation, intra-abdominal abscess, and incision infection happened. Average postoperative hospital stay was 5.2 days. All cases were followed up for 6-18 months. No recurrence or iatrogenic cryptorchidism happened.
CONCLUSION
"Cross-Internal Ring" inguinal oblique incision is a simple, safe, and reliable surgical method to treat pediatric IIH complicated with severe abdominal distension.
背景
本研究旨在评估“跨内环”腹股沟斜切口在嵌顿性腹股沟斜疝（IIH）合并严重腹胀手术治疗中的应用价值。
材料与方法
回顾性分析IIH合并严重腹胀患者。所有患者均通过“跨内环”腹股沟斜切口进行手术。
结果
共纳入13例患者，男女比例为9∶4。患者术后恢复经口进食时间为2～5天，未发生包括延迟性肠穿孔、腹腔脓肿及切口感染等并发症。术后平均住院时间为5.2天。所有病例均随访6～18个月，无复发及医源性隐睾发生。
结论
“跨内环”腹股沟斜切口是治疗小儿IIH合并严重腹胀的一种简单、安全、可靠的手术方法。
Zotero 插件