Li Baoshan, Wang Yinlong, Sun Yi, Man Yi, Zhang Xin
Tianjin Union Medical Center, 190, Jieyuan Road, Hongqiao District, Tianjin, 300121, China.
Heliyon. 2022 Sep 1;8(9):e10488. doi: 10.1016/j.heliyon.2022.e10488. eCollection 2022 Sep.
Ureterosciatic hernia is a very rare disease worldwide. We report a successful case of laparoscopic biological repair of large ureteral hernia. Preoperative CT examination showed ureterosciatic hernia with incarceration and proximal ureteral dilatation. Laparoscopic ureteral incarceration release, ureteral stent placement and biological patch repair of sciatic foramen hernia were performed. Under the observation of laparoscope, the stent was placed through urethra with cystoscope to restore the course of ureter. A biological patch was placed behind the ureter to cover the closed hernia ring. We have been followed up for 2 months after operation. According to the reexamination, the effect is obvious. Laparoscopic biological patch repair for ureteral sciatic foramen hernia has the advantages of less trauma, convenient operation and ideal prognosis in theory.
输尿管坐骨疝在全球都是一种非常罕见的疾病。我们报告一例成功的腹腔镜生物补片修复巨大输尿管疝的病例。术前CT检查显示输尿管坐骨疝伴嵌顿及近端输尿管扩张。进行了腹腔镜下输尿管嵌顿松解、输尿管支架置入及坐骨大孔疝生物补片修补术。在腹腔镜观察下，经尿道用膀胱镜置入支架以恢复输尿管走行。在输尿管后方放置生物补片以覆盖闭合的疝环。术后我们已随访2个月。根据复查情况，效果明显。理论上，腹腔镜生物补片修复输尿管坐骨大孔疝具有创伤小、操作方便、预后理想等优点。
