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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (06) : 704 -707. doi: 10.3877/cma.j.issn.1674-392X.2022.06.021

临床论著

腹腔镜疝修补术治疗腹股沟疝合并子宫圆韧带囊肿
彭新刚1, 王培戈1,()   
  1. 1. 266003 山东,青岛大学附属医院急诊普外科
  • 收稿日期:2022-05-17 出版日期:2022-12-18
  • 通信作者: 王培戈

Laparoscopic hernia repair of inguinal hernia combined with round ligament cyst of uterus

Xingang Peng1, Peige Wang1,()   

  1. 1. Department of Emergency General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266003, China
  • Received:2022-05-17 Published:2022-12-18
  • Corresponding author: Peige Wang
引用本文:

彭新刚, 王培戈. 腹腔镜疝修补术治疗腹股沟疝合并子宫圆韧带囊肿[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(06): 704-707.

Xingang Peng, Peige Wang. Laparoscopic hernia repair of inguinal hernia combined with round ligament cyst of uterus[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(06): 704-707.

目的

探讨腹股沟疝合并子宫圆韧带囊肿治疗方法。

方法

回顾性分析2019年1月至2020年12月青岛大学附属医院诊治的10例腹股沟疝合并子宫圆韧带囊肿患者,行完全腹膜外疝修补术(TEP)/经腹腹膜前疝修补术(TAPP)联合子宫圆韧带囊肿切除手术,观察并记录手术处理方法、手术时间、住院时间及术后并发症发生情况。

结果

10例患者中6例行TAPP治疗,4例行TEP治疗;均在腹腔镜下完成手术,无中转开放手术病例;术中全部确诊为腹股沟疝合并子宫圆韧带囊肿,无对侧隐匿疝患者;患者疝环直径平均(2.1±0.4)cm,平均手术时间(47.4±9.5)min,平均住院时间(2.54±0.43)d;术后随访(24.3±15.2)个月无囊肿复发、疝复发、感染、疼痛。

结论

腹股沟疝合并子宫圆韧带囊肿行腹腔镜下治疗能够获得显著疗效。

Objective

To discuss the clinical treatment of female inguinal hernia with round ligament cyst of uterus.

Methods

Ten female patients with inguinal hernia combined with round ligament cyst of the uterus who were diagnosed and treated in Affiliated Hospital of Qingdao University from January 2019 to December 2020 were retrospectively analyzed. The patients underwent totally extra-peritoneal hernia repair (TEP) or trans-abdominal preperitoneal hernia repair (TAPP) combined with round ligament cyst of uterus resection. Operation method, operation time, hospital stay and postoperative complications were observed and recorded.

Results

Among the 10 patients, 6 patients underwent TAPP, and 4 patients underwent TEP repair. All patients completed the operation under laparoscopic surgery, and no patient transferred to open surgery. During the operation, all patients were confirmed to have inguinal hernia combined with round ligament cyst of uterus, and no contralateral occult hernia. The mean diameter of the hernia ring of the patients was (2.1±0.4) cm, the mean operation time was (47.4±9.5) min, and the mean hospital stay was (2.54±0.43) days. There were no cyst recurrence, hernia recurrence, infection, pain during the mean follow-up of (24.3±15.2) months.

Conclusion

Laparoscopic treatment of female patients with inguinal hernia combined with round ligament cyst of uterus can achieve significant effect.

图1 完全腹膜外疝修补术注:1A疝囊、子宫圆韧带及圆韧带囊肿;1B橫断圆韧帶;1C植入巴德3D MAX补片
图2 经腹腹膜前疝修补术注:2A右侧腹股沟斜疝;2B子宫圆韧带囊肿、腹股沟斜疝疝囊;2C自固定补片绕过子宫圆韧带剪口、缝合
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