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腹直肌切口疝病例报告:一项治疗挑战。

Ventral incisional hernia case report: A therapeutic challenge.

作者信息

de Oliveira Leite Túlio Fabiano, Pires Lucas Alves Sarmento, Chagas Carlos Alberto Araujo

机构信息

Interventional Radiology Unit, Radiology Institute, University of São Paulo Medical School, São Paulo, Brazil.

Department of Morphology, Biomedical Institute, Fluminense Federal University, Rio de Janeiro, Brazil.

出版信息

SAGE Open Med Case Rep. 2020 Jun 2;8:2050313X20927624. doi: 10.1177/2050313X20927624. eCollection 2020.

Abstract

Incisional hernias are a very common condition and they still are considered to be a surgical challenge due to their recurrence rate. Smoking, obesity and age are risk factors for developing these abdominal wall defects. Despite recent advances in hernia repairs, the recurrence rates of hernias did not significantly diminished, even after the introduction of meshes. The aim of this article is to report a case of a ventral incisional hernia in a 37-year-old man and its successful treatment with a procedure known as the Alcino-Lázaro technique repair. This procedure has been shown to be very effective in incisional hernias, especially in obese patients. Furthermore, it is as cheap as it is reliable, since it can be performed without technological aid or expensive materials (mesh); thus, patients in low-income countries can greatly benefit from this procedure.

摘要

切口疝是一种非常常见的病症,由于其复发率,它们仍然被认为是外科手术的一项挑战。吸烟、肥胖和年龄是发生这些腹壁缺损的危险因素。尽管疝修补术最近取得了进展,但即使在引入补片后,疝的复发率也没有显著降低。本文的目的是报告一例37岁男性腹侧切口疝病例,以及采用一种名为阿尔西诺 - 拉扎罗技术修复的手术对其进行的成功治疗。该手术已被证明在切口疝治疗中非常有效,尤其是在肥胖患者中。此外,它既便宜又可靠,因为它无需技术辅助或昂贵材料(补片)即可进行;因此,低收入国家的患者可以从该手术中大大受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b14/7268164/885f43caa9df/10.1177_2050313X20927624-fig1.jpg

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