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腹腔镜腹股沟异源疝修补术对腹股沟隐匿性疝的诊断价值
- 作者: Zaitsev O.V.1,2, Koshkina A.V.1,2, Khubezov D.A.1,2, Yudin V.A.1,2, Barsukov V.V.2
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隶属关系:
- Ryazan State Medical University
- Ryazan Regional Clinical Hospital
- 期: 卷 28, 编号 3 (2020)
- 页面: 334-339
- 栏目: Original study
- URL: https://journals.eco-vector.com/pavlovj/article/view/34028
- DOI: https://doi.org/10.23888/PAVLOVJ2020283334-339
- ID: 34028
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目的：目的探讨腹腔镜腹股沟异源疝修补术对腹股沟隐匿性疝的诊断价值。
材料与方法。本研究是在腹股沟疝患者手术治疗结果的基础上进行的，从2015年到2020年（n = 207）在俄罗斯联邦卫生部高等教育的联邦国家教育机构的Ryazan state medical University在梁赞地区联邦国家预算机构的急救医院和外科学系、妇产科、学院研究了生教育在梁赞地区咨询诊所的接受手术治疗。手术是在对麻醉和二氧化碳气腹无禁忌症的情况下进行的，并如果病人想要按照建议的方式进行手术。所有纳入研究的患者都接受了腹腔镜下疝成形术，并在腹膜前间隙放置网状内假体。为了实验的纯度，只使用了聚丙烯网状内假体。使用了表面密度为65-80 g/m2、体积孔隙率为80-85%的标准单丝聚丙烯网格。网状内假体大小为15x15厘米，导管7.5 厘米，切断角度。
结果。207例患者中28例因双侧腹股沟疝接受手术治疗。其中只有1例患者在术前阶段诊断为疝气。其余27例患者的隐匿性疝气发生在与先前诊断的一侧相反的一侧。除术前和术中诊断的患者外，17例患者在腹膜前间隙的解剖过程中也发现了隐匿性疝气。
结论。腹腔镜下腹股沟异源疝修补术可以诊断术前检查未发现的隐蔽性疝：股疝、闭孔疝、对侧和/或单侧腹股沟疝。这使得可以在一个手术干预中进行疝成形术，考虑到术中发现，并且不会让患者重复住院，接受麻醉和手术。
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作者简介
Oleg Zaitsev
Ryazan State Medical University; Ryazan Regional Clinical Hospital
Email: ozaitsev@yandex.ru
ORCID iD: 0000-0002-1822-3021
SPIN 代码: 4556-7922
Researcher ID: R-6830-2016
MD, PhD, Associate Professor, Professor of the Department of Surgery, Obstetrics and Gynecology of the Faculty of Additional Professional Education; Head of the First Surgical Department
俄罗斯联邦, RyazanAnna Koshkina
Ryazan State Medical University; Ryazan Regional Clinical Hospital
编辑信件的主要联系方式.
Email: mokrova_ann@mail.ru
ORCID iD: 0000-0002-8824-7782
SPIN 代码: 9153-5364
Researcher ID: AAM-9111-2020
PhD-Student of the Department of Surgery, Obstetrics and Gynecology of the Faculty of Additional Professional Education; Surgeon of the First Surgical Department
俄罗斯联邦, RyazanDmitriy Khubezov
Ryazan State Medical University; Ryazan Regional Clinical Hospital
Email: support@rokb.ru
ORCID iD: 0000-0003-2688-6842
SPIN 代码: 8800-2190
Researcher ID: S-5105-2016
MD, PhD, Professor, Head of the Department of Surgery, Obstetrics and Gynecology of the Faculty of Additional Professional Education; Surgeon, Chief Physician
俄罗斯联邦, RyazanVladimir Yudin
Ryazan State Medical University; Ryazan Regional Clinical Hospital
Email: vydin@yandex.ru
ORCID iD: 0000-0002-9955-6919
SPIN 代码: 1463-2810
Researcher ID: B-6212-2018
MD, PhD, Professor, Professor of the Department of Surgery, Obstetrics and Gynecology of the Faculty of Additional Professional Education; Surgeon of the Second Surgical Department
俄罗斯联邦, RyazanVladimir Barsukov
Ryazan Regional Clinical Hospital
Email: doctor-barsukov@mail.ru
ORCID iD: 0000-0001-5490-9293
SPIN 代码: 9312-8750
Researcher ID: AAM-9919-2020
Surgeon of the First Surgical Department
俄罗斯联邦, Ryazan参考
- Dietz UA, Hamelmann W, Winkler MS, et al. An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2007;60(4):383-8. doi:10.1016/ j.bjps.2006.10.010
- Dietz UA, Winkler MS, Härtel RW, et al. Importance of recurrence rating, morphology, hernial gap size and risk factors in ventral and incisional hernia classification. Hernia. 2014;18(1):19-30. doi: 10.1007/s10029-012-0999-x
- Tarasenko SV, Kopeykin АА, Akhmedov ShI, et al. Comparative analysis of endoscopic treatment of inguinal hernias. I.P. Pavlov Russian Medical Biological Нerald. 2015;3:94-8. (In Russ).
- Bushnin SS, Kropacheva EI, Kachalov SN. Effective methods of inguinal hernia repair. Far East Medical Journal. 2009;(1):114-8. (In Russ).
- Fitzgibbons RJ, Salerno GM, Filipi CJ, et al. Laparoscopic intraperitoneal onlay mesh technique for the repair of an indirect inguinal hernia. Annals of Surgery. 1994;219(2):144-56. doi: 10.1097/00000658-199402000-00006
- Farmer L, Ayoub M, Warejcka D, et al. Adhesion formation after intraperitoneal and extraperitoneal implantation of polypropylene mesh. The American surgeon. 1998;64(2):144-6.
- Tarasenko SV, Zaytsev OV, Akhmedov ShI. Occult hernia – laparoscopic hernia repair advantage (TAPP). Nauka Molodykh (Eruditio Juvenium). 2015;(4):70-2. (In Russ).
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