Internal hernia is a rare cause of intestinal obstruction. We present a case of 43-year-old woman without any prior surgical history who was referred as a case of obstructed para-umbilical hernia from a satellite clin...Internal hernia is a rare cause of intestinal obstruction. We present a case of 43-year-old woman without any prior surgical history who was referred as a case of obstructed para-umbilical hernia from a satellite clinic. The objective is to highlight the occurrence of such a rare clinical problem and to provide an insight into decision making especially when there is discordance between an obvious pathology and clinical features.展开更多
目的:探讨腹腔镜下侧腹壁联合宫骶韧带悬吊术对中盆腔缺陷患者的治疗效果及安全性。方法:回顾性分析2020年1月-2023年9月在江西省妇幼保健院妇科进行手术治疗的76例中盆腔缺陷[盆腔器官脱垂分度法(pelvic organ prolapse quantification...目的:探讨腹腔镜下侧腹壁联合宫骶韧带悬吊术对中盆腔缺陷患者的治疗效果及安全性。方法:回顾性分析2020年1月-2023年9月在江西省妇幼保健院妇科进行手术治疗的76例中盆腔缺陷[盆腔器官脱垂分度法(pelvic organ prolapse quantification,POP-Q)Ⅱ度以上]患者的临床资料。根据手术方式不同分为观察组和对照组。观察组40例,行腹腔镜下侧腹壁联合宫骶韧带悬吊术;对照组36例,行腹腔镜下骶骨固定术。比较两组围手术期指标与术后住院时间、术后6个月POP-Q检查结果、满意度及术后并发症发生情况。结果:观察组的手术时间短于对照组,术中出血量少于对照组(P<0.05);术后6个月两组均达到解剖学治愈,且未发现复发情况。术后6个月两组POP-Q各指示点比较差异无统计学意义(P>0.05),两组术后6个月POP-Q各指示点较术前改善(P<0.05)。两组总满意度比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论:腹腔镜下侧腹壁联合宫骶韧带悬吊术及骶骨固定术对于中盆腔缺陷患者均有良好的治疗效果,但前者手术耗时更短。展开更多
文摘Internal hernia is a rare cause of intestinal obstruction. We present a case of 43-year-old woman without any prior surgical history who was referred as a case of obstructed para-umbilical hernia from a satellite clinic. The objective is to highlight the occurrence of such a rare clinical problem and to provide an insight into decision making especially when there is discordance between an obvious pathology and clinical features.
文摘目的:探讨腹腔镜下侧腹壁联合宫骶韧带悬吊术对中盆腔缺陷患者的治疗效果及安全性。方法:回顾性分析2020年1月-2023年9月在江西省妇幼保健院妇科进行手术治疗的76例中盆腔缺陷[盆腔器官脱垂分度法(pelvic organ prolapse quantification,POP-Q)Ⅱ度以上]患者的临床资料。根据手术方式不同分为观察组和对照组。观察组40例,行腹腔镜下侧腹壁联合宫骶韧带悬吊术;对照组36例,行腹腔镜下骶骨固定术。比较两组围手术期指标与术后住院时间、术后6个月POP-Q检查结果、满意度及术后并发症发生情况。结果:观察组的手术时间短于对照组,术中出血量少于对照组(P<0.05);术后6个月两组均达到解剖学治愈,且未发现复发情况。术后6个月两组POP-Q各指示点比较差异无统计学意义(P>0.05),两组术后6个月POP-Q各指示点较术前改善(P<0.05)。两组总满意度比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论:腹腔镜下侧腹壁联合宫骶韧带悬吊术及骶骨固定术对于中盆腔缺陷患者均有良好的治疗效果,但前者手术耗时更短。
