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laparoscopic iliopubic 管道修复无症状的逆侧隐形 inguinal

¹Department of Surgery, Damsoyu Hospital, Hakdong-Ro, Gangnam-Gu, 234, Seoul, Republic of Korea. kingsoss@naver.com.

Hernia : the journal of hernias and abdominal wall surgery

|March 23, 2024

概括

在单侧 inguinal hernias (IH) 的腹腔镜手术期间治疗隐藏的 contralateral inguinal hernias (OIH) 有效地预防了超慢的 contralateral inguinal hernias (MCIH). 这种方法可以显著降低间接MCIH的发生率,而不会增加并发症.

科学领域:

laparoscopic 手术拉巴洛斯科普手术是用眼镜进行的手术.
椎间盘修复修复椎间盘
外科手术的结果

背景情况:

在单边 inguinal hernia (IH) 修复后,可以发生甲时 contralateral inguinal hernia (MCIH) 的发生.
隐藏的 inguinal (OIH) 可能是 MCIH 的促成因素.
laparoscopic transabdominal hernioplasty 允许在单边的IH修复过程中对对侧OIH进行评估.

研究的目的:

为了评估腹腔镜阴管修复 (IPTR) 在管理对侧OIH的有效性.
为了确定治疗OIH是否会在单方面IH修复后减少MCIH的发生率.

主要方法:

对3165名年龄在18岁以上的患者进行了回顾性审查,这些患者接受了单边IH的腹腔镜横腹椎造术 (2013年1月 - 2021年12月).
患者被分为两组:负OIH (nOIH,n=2657) 和OIH (n=508) 的患者.
针对OIH进行了IPTR,涉及 suturing iliopubic通道和横向筋膜.

主要成果:

与noIH组相比,用IPTR治疗的OIH组中间接MCIH的发病率显著较低 (0.0%),比noIH组 (1.0%,p=0.048).
两组之间没有观察到术后并发症,疼痛,恢复日常活动或住院时间的显著差异.
直接MCIH发生在noIH组的4名患者和OIH组的3名患者中.

结论:

对OIH的腹腔镜IPTR是一种有效的策略,可以减少间接MCIH的发生.
这种外科手术方法提供了一种方法,可以降低在单方面IH修复后发展MCIH的风险.

关键词:

伊利奥普比克管道修复甲时性逆侧带.隐藏的 inguinal Hernia 是一个隐藏的 inguinal .

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