Clinical management strategy of adult inguinal incarcerated hernia
10.3760/cma.j.cn115610-20210629-00319
- VernacularTitle:成人腹股沟嵌顿疝的临床治疗策略
- Author:
Kunpeng QU
1
;
Qi ZHANG
;
Xiaozhou CHENG
;
Yupeng ZHANG
;
Xiaohu WANG
;
Weijia CAO
Author Information
1. 甘肃省人民医院普通外科，兰州 730000
- Keywords:
Hernia, inguinal;
Incarcerated hernia;
Mesh;
Adult;
Treatment
- From:
Chinese Journal of Digestive Surgery
2021;20(7):779-784
- CountryChina
- Language:Chinese
-
Abstract:
Inguinal incarcerated hernia in adults is a common acute abdomen in hernia and abdominal wall surgery. If not treated in time, it is easy to progress to constrictive hernia, lead to intestinal ischemic necrosis, cellulitis of tegmental tissue outside the hernia, hernia sac empyema, intestinal fistula, and even cause toxic shock, with significantly increased mortality. The types of incarceration are different and the corresponding management methods are different. Based on the proposal of the concept of musculopubic foramen hernia repair, inguinal incarcerated hernia includes incarcerated indirect hernia, incarcerated direct hernia, incarcerated femoral hernia, etc. At present, there is no uniform standard for the comprehensive treatment of different types of inguinal incarcerated hernia, and the clinical management strategies of adult inguinal incarcerated hernia still face serious challenges.
