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腹腔镜经腹腹膜前修补绞窄性股疝:基于一例病例探讨一种特殊急诊手术方法的优势

Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case.

作者信息

Kafadar Mehmet Tolga, Gök Mehmet Ali

机构信息

Health Sciences University Mehmet Akif İnan Training and Research Hospital, Clinic of General Surgery, Şanlıurfa, Turkey.

Health Sciences University Derince Training and Research Hospital, Clinic of General Surgery, Kocaeli, Turkey.

出版信息

Ann Med Surg (Lond). 2018 Oct 19;36:110-112. doi: 10.1016/j.amsu.2018.10.014. eCollection 2018 Dec.

DOI:10.1016/j.amsu.2018.10.014
PMID:30455874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6231243/
Abstract

INTRODUCTION

Inguinal hernia repair is one of the most common operations of general surgery. In order to avoid complicated and urgent cases, performing such operations electively is generally accepted. Otherwise, unforeseen emergency surgical situations accompanied by incarceration and strangulation may occur.

CASE PRESENTATION

In this article, we present a 45-year-old female patient with strangulated femoral hernia repair that we performed using the laparoscopic transabdominal preperitoneal method, unlike other conventional methods.

DISCUSSION

Early diagnosis and elective surgical treatment have an important role in hernia surgery, especially due to increased morbidity and mortality. Laparoscopic inguinal hernia repair has developed in the recent years as a prominent method and nowadays it is performed much easier than the open method even in urgent and challenging cases.

CONCLUSION

The transabdominal preperitoneal method has superiority over the conventional method in terms of ensuring that intestinal loop is visible during the strangulated femoral hernia repair and that the feeding of the intestine is intact.

摘要

引言

腹股沟疝修补术是普通外科最常见的手术之一。为避免复杂和紧急情况,择期进行此类手术已被普遍接受。否则,可能会出现伴有嵌顿和绞窄的不可预见的紧急手术情况。

病例报告

在本文中,我们介绍了一名45岁女性患者,我们采用腹腔镜经腹腹膜前修补法对其绞窄性股疝进行了修补,这与其他传统方法不同。

讨论

早期诊断和择期手术治疗在疝手术中具有重要作用,尤其是由于发病率和死亡率增加。近年来,腹腔镜腹股沟疝修补术已发展成为一种突出的方法,如今即使在紧急和具有挑战性的病例中,其操作也比开放手术容易得多。

结论

在绞窄性股疝修补术中,经腹腹膜前修补法在确保肠袢可见且肠道血供完整方面优于传统方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/6231243/eb80624f1026/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/6231243/0500648560c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/6231243/eb80624f1026/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/6231243/0500648560c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/6231243/eb80624f1026/gr2.jpg

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Laparoscopic repair of femoral hernia.腹腔镜下股疝修补术。
Ann Transl Med. 2016 Oct;4(19):371. doi: 10.21037/atm.2016.09.31.
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Quality of life and outcomes for femoral hernia repair: does laparoscopy have an advantage?股疝修补术的生活质量与治疗结果:腹腔镜手术有优势吗?
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Laparoscopic repair of incarcerated right femoral hernia.
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