Luo Binyu, Zhang Xiao, Guo Qing, Tian Yunhong, Ren Mingyang
Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong 637000,Sichuan, China.
Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong 637000,Sichuan, China.
Int J Surg Case Rep. 2022 Sep;98:107535. doi: 10.1016/j.ijscr.2022.107535. Epub 2022 Aug 22.
Incarcerated femoral hernia is a common surgical acute abdominal disease. Laparoscopic surgery is considered a safe and effective method for treating incarcerated femoral hernias, which have different surgical approaches to releasing the contents of the hernia.
We report the case of a 65-year-old female with a right incarcerated femoral hernia with an irreducible mass in the right femoral region for 2 days diagnosed by physical examination and abdominal ultrasonography. We used a catheter to inject normal saline into the hernia sac during surgery. Injury and rupture of the small intestine were avoided, and the polypropylene mesh was successfully repaired.
Incarcerated femoral hernias is a common surgical emergency that can lead to intestinal obstruction, strangulation, or infarction. Laparoscopy is advantageous for treating incarcerated femoral hernias. In our case, spatial replacement theory was used to release the incarcerated small intestine. The principle is that changing the internal and external pressures of the hernial sac returns the hernia contents. The non-necrotic small intestine did not lead to intraperitoneal infection, and the standard transabdominal preperitoneal repair was simultaneously performed with a polypropylene mesh.
Laparoscopic incarcerated femoral hernia repair is a common emergency surgery that is safe and feasible for treating incarcerated femoral hernia using the spatial replacement method, the most beneficial to patients.
股疝嵌顿是一种常见的外科急性腹部疾病。腹腔镜手术被认为是治疗股疝嵌顿的一种安全有效的方法，对于松解疝内容物有不同的手术入路。
我们报告一例65岁女性，患有右侧股疝嵌顿，经体格检查和腹部超声诊断，右侧股部有一不可回纳包块2天。手术中我们使用导管向疝囊内注入生理盐水。避免了小肠损伤和破裂，并成功使用聚丙烯补片进行修补。
股疝嵌顿是一种常见的外科急症，可导致肠梗阻、绞窄或梗死。腹腔镜手术治疗股疝嵌顿具有优势。在我们的病例中，采用空间置换理论松解嵌顿的小肠。其原理是改变疝囊的内外压力使疝内容物回纳。未坏死的小肠未导致腹腔感染，同时使用聚丙烯补片进行标准的经腹腹膜前修补术。
腹腔镜股疝嵌顿修补术是一种常见的急诊手术，采用空间置换法治疗股疝嵌顿安全可行，对患者最为有利。
