Mellière D, Dermer J, Danis R K, Becquemin J P, Renaud J
J Chir (Paris). 1980 Oct;117(10):531-5.
Two cases of arterial complications after inguinal hernia repair were revealed by a post-operative septic hemorragia and in the other case by a late intermittent claudication complicated by a distal emboly. Both were cured by replacement of the damaged artery with an autologous saphena. Twenty-three similar cases were found in literature. They were discovered either during operation, or post-operatively, or after recovery. In post-operative course, a late diagnosis in some cases lead to amputations or death. Actual treatment is arterial replacement by autologous vena because the length of arterial damagement and good resistance of vena in septic area. Prevention during inguinal hernia repair needs a correct exposure, the use of small needles and widening of the exposure in case of hemorragia.
两例腹股沟疝修补术后动脉并发症分别表现为术后感染性出血，另一例表现为晚期间歇性跛行并伴有远端栓塞。两例均通过自体大隐静脉置换受损动脉得以治愈。文献中发现了23例类似病例。这些病例要么在手术中发现，要么在术后发现，要么在康复后发现。在术后过程中，一些病例的晚期诊断导致了截肢或死亡。实际治疗方法是用自体静脉进行动脉置换，因为动脉损伤的长度以及静脉在感染区域的良好耐受性。腹股沟疝修补术中的预防措施需要正确暴露、使用小针头以及在出血时扩大暴露范围。
