腹腔镜下会阴前疝修补术：视频展示
Laparoscopic repair of an anterior perineal hernia: a video presentation.
作者信息
Furuie I, Quevedo A, Tovar P, Santos F, Zomer M, Castro G, Kondo W
出版信息
Facts Views Vis Obgyn. 2023 Jun;15(2):153-155. doi: 10.52054/FVVO.15.2.068.
BACKGROUND
The perineal hernia is a condition that occurs as a result of a defect in the pelvic diaphragm. It is classified as anterior or posterior, and as either a primary or secondary hernia. The best management of this condition remains controversial.
OBJECTIVES
To demonstrate the surgical steps of a laparoscopic repair with mesh of a perineal hernia.
MATERIALS AND METHODS
A video presentation showing the laparoscopic repair of a recurrent perineal hernia.
MAIN OUTCOME MEASURES
A 46-year-old woman with a prior history of a primary perineal hernia repair had complaints of a symptomatic vulvar bulge. Pelvic magnetic resonance imaging showed a 5 cm hernia sac at the right anterior pelvic wall containing adipose tissue. A laparoscopic perineal hernia repair was performed by dissection of the space of Retzius, reduction of the hernial sac, closure of the defect and mesh fixation.
RESULTS
The laparoscopic repair with mesh of a recurrent perineal hernia is demonstrated.
CONCLUSION
We showed that the laparoscopic approach can be an effective and reproducible treatment for perineal hernia.
LEARNING OBJECTIVE
Understanding of the surgical steps involved in the laparoscopic repair with mesh of a recurrent perineal hernia.
背景
会阴疝是由于盆底隔膜缺损而出现的一种病症。它可分为前侧或后侧，以及原发性或继发性疝。这种病症的最佳治疗方法仍存在争议。
目的
展示使用补片进行腹腔镜修复会阴疝的手术步骤。
材料与方法
一段展示复发性会阴疝腹腔镜修复术的视频演示。
主要观察指标
一名46岁女性，既往有原发性会阴疝修补病史，现主诉有症状性外阴肿物。盆腔磁共振成像显示右前盆腔壁有一个5厘米的疝囊，内含脂肪组织。通过游离Retzius间隙、回纳疝囊、关闭缺损和固定补片进行腹腔镜会阴疝修补术。
结果
展示了使用补片进行复发性会阴疝的腹腔镜修复术。
结论
我们表明腹腔镜手术方法可为会阴疝提供一种有效且可重复的治疗。
学习目标
了解复发性会阴疝使用补片进行腹腔镜修复所涉及的手术步骤。
Zotero 插件