Aghaji M A, Ojimba T A
Section of Cardiovascular Surgery, University of Nigeria Teaching Hospital, Enugu.
West Afr J Med. 1993 Apr-Jun;12(2):133-5.
Major vascular injuries complicating groin hernia repairs are very rare. Five such cases seen at the vascular unit of the Department of Surgery, UNTH, Enugu, Nigeria over a five year period are presented. The patients all of whom were adults (age range 49-65) had initial problems of hypovolaemia due to massive blood loss followed by infection and anaemia. One of the patients died from irreversible shock while still in the Casualty Unit. The vascular injuries were dealt with by either primary repair, vein graft or dacron graft depending on the prevailing conditions e.g. presence or absence of infection. The other 4 patients who had surgery did well postoperatively and on 5 to 58 months follow-up. Emphasis is laid on the underlying causes of these iatrogenic injuries which include inexperience on the part of the operator and inadequate anaesthesia (often wrongly applied local anaesthesia). If this complication however occurs, the wound should be tightly packed and patient sent immediately to a unit with vascular surgical facilities.
腹股沟疝修补术中并发的严重血管损伤非常罕见。本文报告了尼日利亚埃努古大学教学医院外科血管科在五年内收治的五例此类病例。所有患者均为成年人（年龄范围49 - 65岁），最初因大量失血出现血容量不足问题，随后发生感染和贫血。其中一名患者在急诊室时死于不可逆休克。根据当时的具体情况，如有无感染，血管损伤采用了一期修复、静脉移植或涤纶移植等方法进行处理。另外4例接受手术的患者术后恢复良好，随访时间为5至58个月。文中强调了这些医源性损伤的潜在原因，包括术者经验不足和麻醉不充分（常错误地使用局部麻醉）。然而，如果发生这种并发症，伤口应紧密填塞，并立即将患者送往具备血管外科设施的科室。
