在移植后的腹侧 Hernia 的手术结果
Hirosuke Ishikawa1, Takashi Kobayashi2, Kohei Miura1
1Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Transplantation proceedings
|March 15, 2024
概括
移植后的Ipsilateral inguinal hernias可以安全地用网状组织修复,改善移植功能并解决尿路阻塞. 手术干预有效地防止脏移植功能的恶化.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 移植手术 移植手术
- 胃肠病学 胃肠病学
背景情况:
- 侧 inguinal 可以发生在移植后.
- 这些可能涉及移植器官并导致并发症.
研究的目的:
- 为了澄清移植后的双侧 inguinal hernias 的临床特征.
- 评估手术修复这些的结果.
主要方法:
- 在移植后 (2011-2022) 进行11名患有ipsilateral inguinal hernias的患者的回顾性分析.
- 对临床数据,类型,内容,手术修复方法和患者结局的审查.
- 术前和术后血清肌素和尿路阻塞的评估.
主要成果:
- 大多数是直接型的; 内容包括小肠,膀,尿管和移植脏.
- 55%的患者患有尿路阻塞,该阻塞在手术后随着肌素水平的改善而消失.
- 所有的都使用网状 (插头或列支敦士登方法) 修复,没有复发,并且有一例慢性疼痛.
结论:
- 移植后手术修复双侧 inguinal hernias 是安全有效的.
- 干预可以防止脏移植功能恶化.
- Hernia 修复解决了尿路阻塞,并改善了功能.
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