Vanclooster P, Meersman A, de Gheldere C
H. Hartziekenhuis, Lier, Belgium.
Acta Chir Belg. 1995;95(4 Suppl):199-200.
The authors present a case of intestinal obstruction after a transabdominal laparoscopic hernia repair, due to bowel entrapment through a not perfectly closed peritoneum. With the tremendous success of laparoscopic cholecystectomy, a laparoscopic approach to inguinal hernias seemed feasible and logical. The transabdominal preperitoneal and the totally extraperitoneal hernia repair, both using a prosthesis, are based on the same principles as the classical tension-free repair. The authors have experience with both new procedures. The case report illustrates a major complication after a transabdominal laparoscopic repair in a consecutive series of 40 patients. This was the reason why the transabdominal approach in our department is replaced by the totally extraperitoneal approach.
作者报告了1例经腹腹腔镜疝修补术后肠梗阻的病例，原因是肠管通过未完全闭合的腹膜发生嵌顿。随着腹腔镜胆囊切除术取得巨大成功，腹腔镜治疗腹股沟疝似乎是可行且合理的。经腹腹膜前疝修补术和完全腹膜外疝修补术均使用假体，其基于与经典无张力修补相同的原则。作者对这两种新手术都有经验。该病例报告说明了在连续40例患者的经腹腹腔镜修补术后出现的一种主要并发症。这就是我们科室将经腹手术方式改为完全腹膜外手术方式的原因。
