Federmann G, Schneider A, Walenzyk J, Bauermeister G
Klinik für Allgemein- und Gefässchirurgie, Kreiskrankenhaus Goslar.
Dtsch Med Wochenschr. 1994 Sep 9;119(36):1199-202. doi: 10.1055/s-2008-1058822.
Internal abdominal hernias are rare and often are first seen when causing ileus. Three different internal hernias were operated on laparoscopically: a patient with a hernia duodeno-jejunalis causing recurrent pain in the upper bowel, vomitus and ileus; two patients with an intersigmoidal hernia and pelvic hernia causing ileus without prodroma. Each case was operated on laparoscopically during or short after ileus. In all cases the hernia could be assured and treated by retracting the gut into the abdominal cavity and either wide opening of the hernia's entrance or closing it by suture. It is concluded that internal hernias can be diagnosed and treated laparoscopically as well as in conventional operation techniques.
腹内疝较为罕见，通常在引起肠梗阻时才首次被发现。对三例不同的腹内疝进行了腹腔镜手术：一例十二指肠空肠疝患者，表现为上腹部反复疼痛、呕吐及肠梗阻；两例乙状结肠间疝和盆腔疝患者，表现为无前驱症状的肠梗阻。每例均在肠梗阻期间或肠梗阻后不久接受了腹腔镜手术。在所有病例中，通过将肠管回纳至腹腔，扩大疝入口或缝合关闭疝口，均可确诊并治疗疝。结论是，腹内疝既可以通过腹腔镜诊断和治疗，也可以采用传统手术技术进行治疗。
