因巨大子宫肌瘤导致温氏孔疝患者的腹腔镜手术：一例报告及文献综述
Laparoscopic surgery in a patient with foramen of Winslow hernia due to large uterine fibroids: a case report and literature review.
作者信息
Honma Shusaku, Itohara Takenori, Sha Seigo, Onoyama Hirohiko
机构信息
Department of Surgery, Kobe City Medical Center West Hospital, 2-4, Ichibancho, Nagataku, Kobe, Hyogo, 653-0013, Japan.
Department of General Medicine, Nozaki Tokushukai Hospital, 2-10-5, Tanigawa, Daito, Osaka, 574-0074, Japan.
出版信息
Surg Case Rep. 2021 Mar 25;7(1):77. doi: 10.1186/s40792-021-01162-2.
BACKGROUND
Foramen of Winslow hernia (FWH) is a rare but emergent condition caused by an increase in the foramen diameter, visceral mobility, and intra-abdominal pressure. To the best of our knowledge, this is the first study to report a case of FWH secondary to large uterine fibroids that was successfully treated with laparoscopic surgery.
CASE PRESENTATION
A 52-year-old woman with large uterine fibroids was diagnosed with FWH. Because of the absence of signs of bowel ischemia and peritonitis, we performed an elective laparoscopic surgery through a 5-port system after bowel decompression using a long intestinal tube. Although foramen of Winslow closure was not performed, her postoperative course was uneventful.
CONCLUSIONS
Laparoscopic surgery for FWH is considered an extremely effective surgical treatment option because of its safety and efficacy in performing delicate procedures (such as adhesiolysis) with a good magnified field of view.
背景
网膜孔疝（FWH）是一种罕见但紧急的病症，由网膜孔直径增大、内脏活动度增加和腹内压升高引起。据我们所知，这是首例报告的继发于大型子宫肌瘤的网膜孔疝病例，该病例通过腹腔镜手术成功治疗。
病例介绍
一名患有大型子宫肌瘤的52岁女性被诊断为网膜孔疝。由于没有肠缺血和腹膜炎的体征，我们在使用长肠管进行肠减压后，通过五孔系统进行了择期腹腔镜手术。尽管未进行网膜孔闭合，但她的术后过程顺利。
结论
由于腹腔镜手术在进行精细手术（如粘连松解）时具有安全性和有效性，且视野放大良好，因此被认为是治疗网膜孔疝的一种极其有效的手术治疗选择。
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