Abstract:

Treatment strategy for emergency inguinal hernia                      CHEN Si-meng. Department of General Surgery，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，China
Abstract    Emergency inguinal hernia is a common acute abdominal pain in general surgery, which can be result in intestine necrosis and bowel perforation with high mortality and postoperative mortality. Traditional methods of manual reduction of the herniated segment of bowel can still relieve the emergency state of most patients. Laparoscopic explore can replace most of , even significantly reducing unnecessary open explore. On the basis of application of tension-free hernia repair and laparoscopic technique, improving the accuracy and effectiveness of emergency inguinal hernia treatment ,a special strategy based on its pathophysiology should be adopted. The progress of mesh materials has provided further security for emergency inguinal hernia repair. The application of new technique and operation is still controversial. The traditional concept and management strategy of emergency inguinal hernia are faced with severe challenges.

Key words: emergency, inguinal hernia, hernia repair, laparoscope, mesh

摘要：

急诊腹股沟疝是普外科常见急腹症，处理不及时多发生肠坏死、肠穿孔等，致死率及手术死亡率明显增高。传统的手法复位方法仍然可以解除大多数病人的急诊状态。腹腔镜探查可以替代相当一部分并减少一些不必要的开腹探查。在无张力修补技术和腹腔镜外科技术常规应用的基础上，提高急诊腹股沟疝治疗的准确性和有效性，须依据其病理生理在治疗上采用特殊的策略。材料学进展为急诊腹股沟疝手术应用补片修补提供了进一步的安全保障。新技术、新术式的应用尚有争议，急诊腹股沟疝治疗的传统观念和应对策略仍面临着严峻的挑战。

关键词: 急诊, 腹股沟疝, 疝修补术, 腹腔镜, 补片