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复杂股疝：微创手术管理

Complicated femoral hernia: Minimally invasive surgery management.

作者信息

Veetil Deepa Kizhakke, Wadhawan Randeep, Verma Naveen Kumar, Tanai Shamsu Rehman

机构信息

Department of Minimal Access Surgery, Bariatric and Gastrointestinal Surgery, Manipal Hospital, New Delhi, India.

出版信息

J Minim Access Surg. 2023 Oct-Dec;19(4):555-558. doi: 10.4103/jmas.jmas_119_22.

DOI:10.4103/jmas.jmas_119_22
PMID:35915525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10695306/
Abstract

INTRODUCTION

Complicated femoral hernias can be managed by minimally invasive surgery techniques in the select group of patients. This helps reduce the morbidity of open surgery and enables faster recovery of the patient.

CONCERNS ADDRESSED

Delay in diagnosis can be reduced by a good clinical examination of the patient with a high index of suspicion for these patients. Imaging helps to confirm the clinical diagnosis and plan the operative intervention. In trained hands, the complicated femoral hernias can be managed by laparoscopy which enables better visualisation. Post-operative recovery is also enabled by the minimally invasive surgery done.

CONCLUSION

Minimally invasive laparoscopic surgery can be done in the select group of cases of complicated femoral hernia by trained surgeons.

摘要

引言

在特定患者群体中，复杂股疝可通过微创手术技术进行治疗。这有助于降低开放手术的发病率，并使患者更快康复。

解决的问题

对高度怀疑患有此类疾病的患者进行良好的临床检查，可减少诊断延迟。影像学有助于确认临床诊断并规划手术干预。在经验丰富的医生手中，复杂股疝可通过腹腔镜手术进行治疗，从而实现更好的可视化。微创手术也有助于术后恢复。

结论

经验丰富的外科医生可对特定的复杂股疝病例进行微创腹腔镜手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/ea2a2b1f26da/JMAS-19-555-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/90430ac64984/JMAS-19-555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/30a9b1df1859/JMAS-19-555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/b05d284a74d7/JMAS-19-555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/1f8ee04b5428/JMAS-19-555-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/4267cfd34531/JMAS-19-555-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/ea2a2b1f26da/JMAS-19-555-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/90430ac64984/JMAS-19-555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/30a9b1df1859/JMAS-19-555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/b05d284a74d7/JMAS-19-555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/1f8ee04b5428/JMAS-19-555-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/4267cfd34531/JMAS-19-555-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a8/10695306/ea2a2b1f26da/JMAS-19-555-g006.jpg

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本文引用的文献

1
If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia?如果腹腔镜技术可用于治疗急性嵌顿/绞窄性腹股沟疝？
World J Emerg Surg. 2021 Feb 6;16(1):5. doi: 10.1186/s13017-021-00348-1.
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Laparoscopic Treatment of an Incarcerated Meckel's Diverticulum in a Femoral Hernia.腹腔镜治疗股疝中嵌顿的梅克尔憩室
Case Rep Surg. 2019 Aug 8;2019:3140706. doi: 10.1155/2019/3140706. eCollection 2019.
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Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case.
腹腔镜经腹腹膜前修补绞窄性股疝：基于一例病例探讨一种特殊急诊手术方法的优势
Ann Med Surg (Lond). 2018 Oct 19;36:110-112. doi: 10.1016/j.amsu.2018.10.014. eCollection 2018 Dec.
4
Strangulation of a Meckel's diverticulum in a femoral hernia (Littre's hernia).股疝中梅克尔憩室绞窄（利特尔疝）。
Prz Gastroenterol. 2014;9(3):172-4. doi: 10.5114/pg.2014.43580. Epub 2014 Jun 26.