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腹膜内补片修补术作为机器人经腹腹膜前修补术后复发性腹股沟疝的挽救治疗:一例报告

Intraperitoneal onlay mesh repair as rescue therapy for recurrent inguinal hernia following robotic transabdominal preperitoneal repair: a case report.

作者信息

Gupta Anupam K

机构信息

General and Minimally Invasive Surgery SSM Health, Mt. Vernon, IL, United States.

出版信息

J Surg Case Rep. 2025 Jul 22;2025(7):rjaf523. doi: 10.1093/jscr/rjaf523. eCollection 2025 Jul.

Abstract

Inguinal hernia is one of the most common procedures performed using a robotic transabdominal preperitoneal (TAPP) approach. Recurrence can occur due to failed reperitonealization. A breach in the peritoneum exposing mesh to bowel can lead to severe complications, requiring surgical correction. We describe a case where, despite repeated closure attempts, the peritoneum could not be approximated. An intraperitoneal onlay mesh was used as rescue therapy in a morbidly obese, diabetic female with multiple comorbidities on Plavix.

摘要

腹股沟疝是采用机器人经腹腹膜前(TAPP)入路进行的最常见手术之一。由于腹膜化失败可能会发生复发。腹膜破裂使补片暴露于肠管可导致严重并发症,需要手术矫正。我们描述了一例尽管反复尝试缝合,但腹膜仍无法对合的病例。对于一名患有多种合并症且正在服用波立维的病态肥胖糖尿病女性,采用了腹腔内置入补片作为挽救治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/760a/12282121/f0de1ee6e70c/rjaf523f1.jpg

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