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find Keyword "嵌顿疝" 4 results
  • Value of Laparoscopy in Treatment of Acute Inguinal Incarcerated Hernia (Report of 11 Cases )

    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

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  • Prevention and Treatment on Operative Complications of Irreducible Hernia and Inguinal Strangulated Hernia

    目的 探讨腹股沟难复疝和嵌顿疝手术并发症的防治。方法 回顾性分析笔者所在医院2005年1月至2012年1月期间收治的69例腹股沟疝行手术治疗患者的临床资料。难复疝37例,嵌顿疝32例(其中Richter疝3例、Littre疝1例、Maydl疝3例 、Amyand疝1例)。结果 69例患者均行手术治疗,其中行单纯疝囊高位结扎术3例,Shouldice法修补术10例,Lichtenstein术7例,无张力充填式疝修补术43例,Modified Kugel补片修补术6例。术后1例死亡。术后早期并发症13例,包括肠管损伤3例、腹股沟神经损伤4例、血清肿4例、切口感染2例; 晚期并发症9例,包括慢性疼痛2例、缺血性睾丸炎1例及疝复发6例。结论 术前对于复杂性嵌顿疝和滑动疝经验不足,术后对于并发症的预防性处理不足是导致术中、术后并发症的主要原因。正确认识复杂性嵌顿疝和滑动疝,以及正确选择网片可减少难复疝和嵌顿疝手术并发症的发生。

    Release date:2016-09-08 10:24 Export PDF Favorites Scan
  • 腹腔镜TAPP治疗腹股沟嵌顿疝的临床分析

    目的探讨腹腔镜经腹膜前补片修补术(TAPP)治疗腹股沟嵌顿疝的安全性及优势。 方法2012年3月至2015年3月期间我院共治疗腹股沟嵌顿疝患者25例,全麻后,先在腹腔镜下还纳疝内容物,若肠管未坏死,则行TAPP术。 结果25例手术患者中,3例合并肠坏死,于腹腔镜下完成肠切除或肠造口术;22例患者成功施行TAPP手术,未中转开腹,术后无补片感染及严重并发症发生。随访1~4年,未见复发。 结论TAPP治疗腹股沟嵌顿疝探查便利,操作方便,安全可行,疗效可靠,优势明显。

    Release date:2016-10-02 04:54 Export PDF Favorites Scan
  • 左侧嵌顿性腹股沟斜疝继发大网膜扭转坏死:附1例报道

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