局部麻醉下疝环充填式无张力疝修补术治疗腹股沟疝

目的 评价应用局部麻醉下疝环充填式无张力疝修补术治疗腹股沟疝的临床价值.方法 回顾性分析256例腹股沟疝在局部麻醉下行疝环充填式无张力疝修补术患者的临床资料.结果 所有患者手术均顺利完成,麻醉效果满意,无明显疼痛与不适感.无一例使用止痛药,仅1例出现尿潴留,2例切口脂肪液化,经对症处理后痊愈.术后随访无复发.结论 局部麻醉下疝环充填式无张力疝修补术安全可靠,操作简便,符合人体解剖结构,对无法耐受硬膜外麻醉的患者,是一种理想选择.     

Handlebar hernia: a rare type of abdominal wall hernia

Traumatic abdominal wall hernias are a type of acquired hernia secondary to blunt trauma Caused, by direct trauma from handlebar like objects. This rare hernia is named 'Handlebar hernia'. We report a case of such hernia without any significant intra-abdominal injury. The abdominal wall defect was repaired in layers by Jones technique. Postoperative course was uneventful. The authors recommend clinical suspicion for traumatic hernia in all patients with traumatic abdominal wall injury. Definitive treatment includes surgical exploration with primary repair of all tissue layers of the abdominal wall.