Matuszewski M, Stanek A, Maruszak H, Krajka K
Katedry i Kliniki Urologii, Akademii Medycznej w Gdańsku.
Wiad Lek. 1998;51 Suppl 3:20-4.
We present laparoscopic method of treatment of parapubic hernia that may occur after radical prostatectomy performed due to prostatic cancer. This kind of hernia is closely related to the weakening of the rectus muscle of abdomen insertions to the pubic bone that takes place during the operations using lower midline incision in order to reach organs in the small pelvis. Because of its localization it may be misdiagnosed as a commoner direct inquinal hernia. In this case the traditional anterior approach would not be curative. Using laparoscopy as it is suggested by authors will make the proper diagnosis much more easy and thus will enable effective treatment of the patient.
我们介绍了一种腹腔镜治疗耻骨旁疝的方法，这种疝可能发生在因前列腺癌而进行的根治性前列腺切除术后。这种疝与腹部直肌在耻骨处附着点的减弱密切相关，这种减弱发生在使用下腹部中线切口以到达小骨盆内器官的手术过程中。由于其位置关系，它可能被误诊为更常见的腹股沟直疝。在这种情况下，传统的前路手术无法治愈。按照作者的建议使用腹腔镜将使正确诊断更加容易，从而能够对患者进行有效治疗。
