Abstract:

Surgical treatment of incarcerated inguinal hernia: An analysis of 65 cases        LI Shao-jie，TANG Jian-xiong，HU Xing-chen，et al. Department of General Surgery，Hernia and Abdominal Wall Surgery Center，Huadong Hosptial Affiliated to Fudan University，Shanghai 200040，China
Corresponding author：TANG Jian-xiong，E-mail: johnxiong@china.com
Abstract    Objective    To evaluate the clinical factors and features of incarcerated inguinal hernia and individualized treatment. Methods    The clinical data of 65 cases of incarcerated inguinal hernia admitted from January 2013 to December 2014 in Huadong Hospital Affiliated to Fudan University were analyzed retrospectively. Results    Among 65 cases，29 cases performed emergency operations while other 36 cases are selective. The strangulation of intestine occurred in 7 cases. Six cases had complicatios with 3 pulmonary infection，1 incision infection，1 heart failure，1 paralysis intestinal obstruction. One case was died among them. One cases had recurrence. Conclusion    The prevention of incarcerate inguinal hernia is more important than the treatment and individualized treatment should be used for different cases. Tension-free hernioplasty is safe and effective for incarcerated inguinal hernia.

Key words: incarcerated inguinal hernia, tension-free hernioplasty

摘要：

目的    分析嵌顿性腹股沟疝临床诊疗中的特点，总结个体化治疗方案经验。方法    回顾性分析2013年1月至2014年12月复旦大学附属华东医院收治的65例嵌顿性腹股沟疝病人的临床资料。结果    65例病人中，29例实施了急诊手术，36例手法回纳后择期手术，7例术中发现肠管坏死。术后共有6例出现并发症，3例为肺部感染，1例心脏衰竭，1例麻痹性肠梗阻，1例切口感染，其中1例死亡；另有1例疝复发。结论    嵌顿性腹股沟疝防重于治，治疗方案须根据病情个体化选择，无张力疝修补术是一种安全有效的治疗手段。

关键词: 嵌顿性腹股沟疝, 无张力疝修补术