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格林费尔特疝的完全腹膜外修补术：罕见问题的简易解决方案

Totally Extraperitoneal Repair of Grynfeltt's Hernia: Easy Solution for a Rare Problem.

作者信息

Peethambaran M S, Rajendran Rajkamal R, Murthy Narayana G

机构信息

Gastrointestinal Surgery, Avitis Institute of Medical Sciences, Palakkad, IND.

Urology, Avitis Institute of Medical Sciences, Palakkad, IND.

出版信息

Cureus. 2024 Nov 29;16(11):e74743. doi: 10.7759/cureus.74743. eCollection 2024 Nov.

DOI:10.7759/cureus.74743
PMID:39735161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682702/
Abstract

Lumbar hernias are a rare form of abdomen wall hernias. As this is a rare disease, treatment options are not standardized. Most case reports, even recent ones, describe open techniques. A minimally invasive method, though feasible, is not done by most surgeons. Among the minimally invasive techniques, the transabdominal method is commonly performed. A totally extraperitoneal (TEP) approach is a good alternative, which can be done with minimal complications. Here, we describe a case report of a patient who had a superior lumbar hernia (Grynfeltt's) and inguinal hernia, who successfully underwent simultaneous TEP repair for the lumbar and inguinal hernia.

摘要

腰椎疝是腹壁疝的一种罕见形式。由于这是一种罕见疾病，治疗方案并不规范。大多数病例报告，即使是近期的，都描述的是开放手术技术。一种微创方法虽然可行，但大多数外科医生并不采用。在微创技术中，经腹方法较为常用。完全腹膜外（TEP）入路是一个很好的选择，并发症极少。在此，我们报告一例患有上腰椎疝（格伦费尔特疝）和腹股沟疝的患者，成功接受了同时的腰椎和腹股沟疝TEP修补术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/828a60764fd6/cureus-0016-00000074743-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/0c0315f0b2b1/cureus-0016-00000074743-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/eb630aa70704/cureus-0016-00000074743-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/239c1f81fbbc/cureus-0016-00000074743-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/d6440afeed0a/cureus-0016-00000074743-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/c66111e0f5fd/cureus-0016-00000074743-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/4a734a9fa571/cureus-0016-00000074743-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/b07d1d10c42f/cureus-0016-00000074743-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/5573ab35c0c7/cureus-0016-00000074743-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/b8a90ba4686b/cureus-0016-00000074743-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/4d5c1f6aed36/cureus-0016-00000074743-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/828a60764fd6/cureus-0016-00000074743-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/0c0315f0b2b1/cureus-0016-00000074743-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/eb630aa70704/cureus-0016-00000074743-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/239c1f81fbbc/cureus-0016-00000074743-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/d6440afeed0a/cureus-0016-00000074743-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/c66111e0f5fd/cureus-0016-00000074743-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/4a734a9fa571/cureus-0016-00000074743-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/b07d1d10c42f/cureus-0016-00000074743-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/5573ab35c0c7/cureus-0016-00000074743-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/b8a90ba4686b/cureus-0016-00000074743-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/4d5c1f6aed36/cureus-0016-00000074743-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4f/11682702/828a60764fd6/cureus-0016-00000074743-i11.jpg

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Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature.基于文献系统回顾的原发性腰椎疝的陷阱和临床建议。
Hernia. 2019 Feb;23(1):107-117. doi: 10.1007/s10029-018-1834-9. Epub 2018 Oct 12.
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Surgical approach towards Grynfelt hernia: A single center experience.格林费尔特疝的手术治疗方法：单中心经验
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