关键词: 腹股沟疝, 嵌顿, 绞窄, 急诊手术

Abstract: Principles of emergency surgery for inguinal hernia                    WENG Shan-geng, CHEN Yi-ping, LIU Guo-zhong, et al. Department of Hepatopancreatobiliary and Hernia Surgery, Fujian Abdominal Surgery Research Institute, the First Affiliated Hospital of Fujian Medical University, The National Regional Medical Center of Binhai Hospital, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China
Corresponding author: WENG Shan-geng,E-mail:shangeng@
sina.com
Abstract    Incarcerated and strangulated inguinal hernias require emergency treatment, and their diagnosis is mainly made on the basis of clinical signs and symptoms, and CT examination identifies the nature of the herniated contents and helps to judge the activity of the incarcerated bowel. For patients with incarceration time less than 4 to 6 h, the manual reduction can be attempted, and patients with a successful reduction should be operated on as soon as possible; Emergency surgery is recommended for patients with suspected intestinal necrosis and failure of manual reduction. The surgical approach may be initiated by laparoscopic exploration for the definite presence or absence of bowel necrosis, patients with no intestinal necrosis can be considered using large mesh light-weight mesh, or biological mesh for TAPP, TEP or open tension-free hernia repair; In patients with intestinal necrosis on endoscopic exploration or in whom preoperative bowel necrosis has been clearly established, median incision with bowel resection and anastomosis with secondary hernia repair is recommended.

Key words: inguinal hernia, incarceration, strangulation, emergency surgery