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使用普理灵疝修补系统行腹股沟疝修补术后发生巨大腹膜后血肿：一例报告

Massive Retroperitoneal Hematoma After Inguinal Hernia Repair Using Prolene® Hernia System: A Case Report.

作者信息

Fujikawa Takahisa, Nagata Keiji, Matsuoka Taisuke, Yamana Ippei

机构信息

Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.

出版信息

Cureus. 2023 Aug 10;15(8):e43300. doi: 10.7759/cureus.43300. eCollection 2023 Aug.

DOI:10.7759/cureus.43300
PMID:37692599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10492651/
Abstract

Retroperitoneal hematoma is a possibly fatal condition that is frequently observed as a complication of procedures such as femoral artery catheterizations. We currently present a case of massive retroperitoneal hematoma after inguinal hernioplasty using Prolene Hernia System mesh in a warfarin-treated patient. Especially in the case of inguinal hernioplasty in a patient receiving warfarin therapy, surgeons must pay close attention to prevent hemorrhage from the preperitoneal space, or they may opt for a different technique, such as the Lichtenstein method or laparoscopic approach.

摘要

腹膜后血肿是一种可能致命的病症，常作为诸如股动脉插管等操作的并发症被观察到。我们目前呈现一例在使用普理灵疝修补系统补片进行腹股沟疝修补术后发生大量腹膜后血肿的病例，该患者正在接受华法林治疗。特别是在接受华法林治疗的患者进行腹股沟疝修补术的情况下，外科医生必须密切注意防止腹膜前间隙出血，否则他们可能会选择不同的技术，如利chtenstein方法或腹腔镜手术方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdfc/10492651/0f299d88edd7/cureus-0015-00000043300-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdfc/10492651/61f06c7767f0/cureus-0015-00000043300-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdfc/10492651/0f299d88edd7/cureus-0015-00000043300-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdfc/10492651/61f06c7767f0/cureus-0015-00000043300-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdfc/10492651/0f299d88edd7/cureus-0015-00000043300-i02.jpg

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2
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Asian J Endosc Surg. 2018 May;11(2):169-172. doi: 10.1111/ases.12416. Epub 2017 Aug 30.
3
Primary inguinal hernia: The open repair today pros and cons.
原发性腹股沟疝：当今开放式修补术的利弊
Asian J Endosc Surg. 2017 Aug;10(3):236-243. doi: 10.1111/ases.12394.
4
Risk factors for postoperative hematoma after inguinal hernia repair: an update.腹股沟疝修补术后血肿的危险因素：最新进展
J Surg Res. 2016 Sep;205(1):33-7. doi: 10.1016/j.jss.2016.06.002. Epub 2016 Jun 8.
5
Open Preperitoneal Techniques versus Lichtenstein Repair for elective Inguinal Hernias.开放性腹膜前技术与Lichtenstein修补术治疗择期腹股沟疝
Cochrane Database Syst Rev. 2012 Jul 11;2012(7):CD008034. doi: 10.1002/14651858.CD008034.pub2.
6
Postoperative hematoma following inguinal herniorrhaphy: patient characteristics leading to increased risk.腹股沟疝修补术后的血肿：导致风险增加的患者特征
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