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使用PIRS技术对犬进行腹腔镜辅助经皮疝修补术。

Laparoscopic assisted percutaneous herniorrhapy in dogs using PIRS technique.

作者信息

Prządka Przemysław, Liszka Bartłomiej, Skrzypczak Piotr, Kubiak-Nowak Dominika, Borawski Wojciech, Juźwiak Łukasz, Kiełbowicz Zdzisław, Patkowski Dariusz

机构信息

Department of Surgery, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, Wroclaw, Poland.

Department of Pediatric Surgery and Urology, Medical University of Wroclaw, Wroclaw, Poland.

出版信息

PLoS One. 2020 Jul 10;15(7):e0235899. doi: 10.1371/journal.pone.0235899. eCollection 2020.

Abstract

BACKGROUND

In the literature, no studies describe the use of laparoscopic techniques for inguinal hernia repair in canine clinical patients. The surgical technique-Percutaneous Internal Ring Suturing (PIRS) presented in this article is the world's first minimally invasive laparoscopic surgical technique for inguinal canal closure in dogs.

AIM

The aim of the presented study is to evaluate the possibility of employment of the laparoscopic PIRS technique in clinical practice as well as to technically evaluate its usefulness in the treatment of the inguinal hernia in dogs. The presented study describes the procedure and the results of laparoscopic treatment of 11 inguinal hernias in nine dogs (two bilateral).

METHODS

The whole procedure is performed under camera control introduced through one umbilical trocar. The very closure of the inner inguinal ring is done with the injection needle by a small puncture over the inguinal canal with the help of which the suture material is inserted, and the canal of the operated inguinal hernia is closed. Each operated dog underwent a thorough clinical examination before surgery which was combined with ultrasound examination of the inguinal canals before, immediately after and three months after surgery.

RESULTS

There was no hernia recurrence in the study period in the operated dogs and all individuals returned to full mobility immediately after recovery from anesthesia.

CONCLUSIONS

Due to the low invasiveness and simplicity of performance, the PIRS technique described in the study should be taken into account when choosing a treatment method for non-traumatic inguinal hernia in dogs. At the same time, the possibility of using the described technique in other types of inguinal hernia in dogs requires further research.

摘要

背景

在文献中,没有研究描述在犬类临床患者中使用腹腔镜技术进行腹股沟疝修补。本文介绍的手术技术——经皮内环缝合术(PIRS)是世界上首例用于犬腹股沟管闭合的微创腹腔镜手术技术。

目的

本研究的目的是评估腹腔镜PIRS技术在临床实践中应用的可能性,并从技术上评估其在治疗犬腹股沟疝中的有效性。本研究描述了9只犬(2只双侧)的11例腹股沟疝的腹腔镜治疗过程及结果。

方法

整个手术过程在通过一个脐部套管针引入的摄像头控制下进行。腹股沟内环的闭合是通过注射针在腹股沟管上方进行小穿刺完成的,借助该穿刺插入缝合材料,从而闭合手术治疗的腹股沟疝管。每只接受手术的犬在术前均接受了全面的临床检查,并在手术前、术后即刻及术后三个月对腹股沟管进行了超声检查。

结果

在研究期间,接受手术的犬没有疝复发,所有个体在从麻醉中恢复后立即恢复了完全活动能力。

结论

由于该技术具有低侵入性和操作简单的特点,在为犬非创伤性腹股沟疝选择治疗方法时应考虑本研究中描述的PIRS技术。同时,将该技术用于犬其他类型腹股沟疝的可能性需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff85/7351152/726c56e9b967/pone.0235899.g001.jpg

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