机器人腹腔镜辅助治疗包含嵌顿性异位妊娠的腹股沟疝。
Robotic Laparoscopic Assisted Treatment of Inguinal Hernia Containing an Incarcerated Ectopic Pregnancy.
作者信息
Ferrara Nashali, Scutella Michael, Lad Hetal, Hsiung Tiffany, Abedin Yasmin, Amin Arpit
机构信息
Department of Obstetrics, Gynecology, and Reproductive Health, Rutgers New Jersey Medical School, Newark, New Jersey. (Drs. Ferrara, Scutella, and Abedin).
Rutgers New Jersey Medical School, Department of Surgery, Newark, New Jersey. (Drs. Lad, Hsiung, and Amin).
出版信息
CRSLS. 2024 Dec 30;11(3). doi: 10.4293/CRSLS.2024.00013. eCollection 2024 Jul-Sep.
INTRODUCTION
It is rare for adult female patients to present with incarcerated inguinal hernias containing ovary, fallopian tube, or uterine tissue. Potential surgical treatment options for incarcerated inguinal hernias containing ovary, fallopian tube or uterine tissue include open inguinal hernia repair (IHR), laparoscopic or robotic IHR.
CASE DESCRIPTION
Herein, we report a case of an adult female presenting with a unilateral incarcerated inguinal hernia containing ectopic pregnancy. Patient was treated with laparoscopic lysis of adhesions, reduction of incarcerated ectopic pregnancy and unilateral salpingectomy. Patient then underwent robotic assisted transabdominal preperitoneal IHR (rTAPP-IHR).
DISCUSSION
Minimally invasive laparoscopic salpingectomy and rTAPP-IHR can be safely performed in patients presenting with unilateral incarcerated inguinal hernia containing ectopic pregnancy.
引言
成年女性患者出现包含卵巢、输卵管或子宫组织的嵌顿性腹股沟疝的情况较为罕见。对于包含卵巢、输卵管或子宫组织的嵌顿性腹股沟疝，潜在的手术治疗选择包括开放式腹股沟疝修补术（IHR）、腹腔镜或机器人辅助IHR。
病例描述
在此，我们报告一例成年女性患者，其患有单侧嵌顿性腹股沟疝且伴有异位妊娠。患者接受了腹腔镜粘连松解术、嵌顿异位妊娠复位术及单侧输卵管切除术。随后患者接受了机器人辅助经腹腹膜前IHR（rTAPP-IHR）。
讨论
对于患有单侧嵌顿性腹股沟疝且伴有异位妊娠的患者，可安全地进行微创腹腔镜输卵管切除术及rTAPP-IHR。
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