一例伴有瘘管形成的嵌顿性切口疝：病例报告
A fistulating incarcerated incisional hernia: a case report.
作者信息
Weledji Elroy P, Nana Theophile C
机构信息
Department of Surgery, Faculty of Health Sciences, University of Buea, Cameroon, West Africa.
出版信息
J Surg Case Rep. 2020 Apr 6;2020(4):rjaa062. doi: 10.1093/jscr/rjaa062. eCollection 2020 Apr.
Abstract
An incisional hernia is usually a defect in the scar of an abdominal surgery. The natural history is intestinal obstruction with the risk of strangulation. We report a case of a long-term conservative management of an incisional hernia with an abdominal corset. This resulted in fistulation from pressure necrosis that required an en-bloc excision of the incarcerated fistulating bowel with the hernia sac. The defect was managed using the Jenkin's 'mass closure' technique with no recurrence of the hernia.
摘要
切口疝通常是腹部手术瘢痕处的缺损。其自然病程是肠梗阻并有绞窄风险。我们报告一例使用腹部束腹带对切口疝进行长期保守治疗的病例。这导致了因压力性坏死形成瘘管，需要将嵌顿的瘘管化肠段与疝囊一并整块切除。使用詹金氏“大块缝合”技术处理缺损，疝未复发。
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Ann Surg. 2020 Mar;271(3):434-439. doi: 10.1097/SLA.0000000000003505.
2
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3
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6
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7
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8
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