Value of Laparoscopy in Treatment of Acute Inguinal Incarcerated Hernia　(Report of 11 Cases )_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZENG Dongzhu , SHI Yan , LEI Xiao , ZHAO Yongliang , LAN Yuanzhi , HAO Yingxue , LUO Huaxing , XUE Lin , YU Peiwu

Department of General Surgery, The First Affiliated Hospital, The Third Military Medical University, Chongqing 400038, China;

Corresponding author：

Keywords：

Laparoscopy; Inguinal incarcerated hernia

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Objective To investigate the value of laparoscopy in resetting and repairing of inguinal incarcerated hernia. Methods Clinical data of 11 patients with acute inguinal incarcerated hernia treated with laparoscopy from March 2007 to February 2008 were reviewed, including 3 cases of direct inguinal hernia and 8 cases of oblique inguinal hernia. Results There were 7 patients with incarcerated hernia who were reset automatically after general anaesthesia, and 4 patients who were reset with laparoscopy. All the hernias were repaired with the transabdominal preperitoneal (TAPP) method after observed or improved the blood cycle of the incarcerated intestinal tract under laparoscopy. Average follow-up time was 6.6 months (2-12 months) after operation. Good recover and no recurrence were showed in all patients. Conclusion Laparoscopy is a safe technology in resetting and repairing of inguinal incarcerated hernia

Citation： ZENG Dongzhu,SHI Yan,LEI Xiao,ZHAO Yongliang,LAN Yuanzhi,HAO Yingxue,LUO Huaxing,XUE Lin,YU Peiwu. Value of Laparoscopy in Treatment of Acute Inguinal Incarcerated Hernia　(Report of 11 Cases ). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(12): 923-925. doi: Copy

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1. 吴阶平, 裘法祖主编. 黄家驷外科学 [M]. 中册. 第6版. 北京: 人民卫生出版社, 2003∶ 924~932.
2. Mahon D, Decadt B, Rhodes M. Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia [Ｊ]. Surg Endosc， 2003; 17(9)∶ 1386.
3. Ger R. The management of certain abdominal hernia by intra-abdominal closure of the neck of sac Preliminart communication [Ｊ]. Am R Coll Surg Eng, 1982; 64(5)∶342.
4. 江浩, 丁锐, 姚琪远, 等. 腹股沟区腹膜前解剖和疝修补术 [Ｊ]. 中国临床解剖学杂志, 2008; 26(2)∶ 209.
5. Mirilas P, Colborn GL, McClusky DA 3rd, et al. The history of anatomy and surgery of the preperitoneal space [Ｊ]. Arch Surg, 2005; 140(1)∶ 90.
6. Bringman S, Blomqvist P. Intestinal obstruction after inguinal and femoral hernia repair: a study of 33,275 operations during 1992-2000 in Sweden [Ｊ]. Henia, 2005; 9(2)∶ 178.
7. Feliu X, Jaurrieta E, Vias X, et al. Recurrent inguinal hernia: a ten-year review [Ｊ]. J Laparoendosc Adv Surg Tech A, 2004; 14(6)∶ 362.
8. 王存川, 张松柏, 陈鋆, 等. 腹腔镜疝修补手术222例经验 [Ｊ]. 中国普外基础与临床杂志, 2005; 12(6)∶ 551.
9. 李健文, 郑民华, 董峰，等. 腹腔镜腹股沟疝修补术的经验总结(附235例报告) [Ｊ]. 外科理论与实践, 2005; 10(2)∶ 126.
10. 中华医学会外科分会腹腔镜与内镜外科学组. 腹腔镜疝修补术常规 [Ｊ]. 腹腔镜外科杂志, 2006; 11(2)∶ 179.
11. 路夷平, 张能维, 李凯, 等. 腹腔镜下腹股沟疝修补术的临床应用与术式选择 [Ｊ]. 腹腔镜外科杂志， 2008； 13(1)∶ 41.
12. MoComack K, wake BL, Fraser C, et al. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review [Ｊ]. Hernia, 2005; 9(2)∶ 109.
13. 李健文，郑民华，藏潞，等. 腹腔镜腹股沟疝修补术后复发与并发症分析 [Ｊ]. 外科理论与实践， 2002； 7(6)∶ 431.
14. Singhal T, Balakrishnan S, Paix A, et al. Early experience with laparoscopic inguinal hernia repair in a district general National Health Services hospital [Ｊ]. J Laparoendosc Adv Surg Tech A, 2005; 15(3)∶ 285.
15. 田延锋, 潘飞, 宋家琨, 等. 疝环充填式无张力疝修补术在腹股沟嵌顿疝中的应用(附12例报告) [Ｊ]. 中国普外基础与临床杂志， 2002； 9(4)∶ 272.
16. 马颂章, 李基业, 郑民华. 成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案（2003年修订稿） [Ｊ]. 中华外科杂志， 2004； 42（14）∶834.
17. 马颂章，李燕青. 疝环充填式无张力疝修补术 [Ｊ]. 临床外科杂志， 1998; 6（4）∶234.
18. 余效民. 疝环充填式无张力疝修补术治疗腹股沟嵌顿疝36例 [Ｊ]. 临床和实验医学杂志, 2008; 7(6)∶ 144.
19. 计勇, 甄作均, 许卓明. 腹腔镜技术在成人嵌顿性斜疝中的应用价值 [Ｊ]. 中华消化内镜杂志, 2007; 24(2)∶ 115.
20. 王存川主编. 普通外科腹腔镜手术彩色图谱 [M]. 第1版. 北京: 科学出版社, 2005∶ 47~53.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Value of Laparoscopy in Treatment of Acute Inguinal Incarcerated Hernia　(Report of 11 Cases )

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Value of Laparoscopy in Treatment of Acute Inguinal Incarcerated Hernia (Report of 11 Cases )

Abstract Full text Figures/Tables Video References Cited by

Format

Content

Value of Laparoscopy in Treatment of Acute Inguinal Incarcerated Hernia　(Report of 11 Cases )