Wright R N, Arensman R M, Coughlin T R, Nyhus L M
Am Surg. 1977 Sep;43(9):627-30.
A case of hernia reduction en masse is reviewed. Discussion of the pathogenesis, diagnosis, and operative approach suggests that the use of taxis in the reduction of incarcerated hernia should be tempered by awareness of potential complications including mass reduction. Diagnosis is by history with the persistence of intestinal obstruction after reduction is a key feature. A preperitoneal approach is recommended for facility of reduction, resection, and anatomic hernia repair.
回顾了一例整块疝还纳的病例。对其发病机制、诊断及手术方法的讨论表明，在嵌顿疝还纳中使用手法还纳时，应认识到包括肿块还纳在内的潜在并发症。诊断依据病史，还纳后肠梗阻持续存在是关键特征。建议采用腹膜前入路以便于还纳、切除及进行解剖学疝修补。
