使用补片进行艾米安德疝修补术并切除阑尾。
Amyand hernia repair with mesh and appendectomy.
作者信息
Holmes Katelin, Guinn Joseph E
机构信息
Department of Surgery, University of North Texas Health Science Center, 900 8th Avenue, Fort Worth, TX, 76104, USA.
Department of Surgery, Medical City Fort Worth, 900 8th Avenue, Fort Worth, TX, 76104, USA.
出版信息
Surg Case Rep. 2019 Mar 15;5(1):42. doi: 10.1186/s40792-019-0600-2.
BACKGROUND
Amyand hernias have been described in case reports in the literature and are a rare occurrence in the career of a surgeon. Their management is even less well described and often poses problems in the management of repair due to concerns with contamination associated with appendectomy. Here, we describe a patient with an Amyand hernia seen on CT imaging preoperatively, who underwent appendectomy along with a lightweight mesh plug repair of his hernia.
CASE PRESENTATION
An 88-year-old male presented with a right groin bulge and underwent preoperative imaging which indicated the presence of his appendix within his hernia. He was taken to the operating room electively where an appendectomy was performed due to significant chronic inflammatory changes. A lightweight mesh plug was used to repair the hernia to prevent recurrence. He did well post operatively without any complications.
CONCLUSIONS
A review of the literature supports the use of mesh repair in these of hernias even with appendectomy at the time of the hernia repair. This will guide surgeons who encounter this clinical rarity in their practice.
背景
文献中的病例报告已描述过艾米安德疝，在外科医生的职业生涯中这种情况较为罕见。其治疗方法的描述更少，而且由于担心与阑尾切除术相关的污染问题，在疝修补的管理中常常会出现问题。在此，我们描述一名术前CT成像显示为艾米安德疝的患者，该患者接受了阑尾切除术及轻质网塞疝修补术。
病例介绍
一名88岁男性因右侧腹股沟肿物就诊，术前影像学检查显示其疝内有阑尾。因其存在明显的慢性炎症改变，故择期将其送入手术室行阑尾切除术。使用轻质网塞修补疝以防止复发。术后恢复良好，未出现任何并发症。
结论
文献回顾支持在这些疝的治疗中使用网片修补，即使在疝修补时同时进行阑尾切除术。这将为在临床实践中遇到这种罕见情况的外科医生提供指导。
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