Principles of the surgical management of incarcerated hernia
10.3760/cma.j.cn115396-20231025-00102
- VernacularTitle:嵌顿疝的外科处理原则
- Author:
Xiaobei ZHANG
1
;
Yongjiang YU
Author Information
1. 兰州大学第一医院胃肠及疝和腹壁外科，兰州 730000
- Keywords:
Abdomen, acute;
Hernia, abdominal;
Surgical procedures, operative;
Incarcerated hernia;
Hernia repair;
Mesh
- From:
International Journal of Surgery
2023;50(12):802-806
- CountryChina
- Language:Chinese
-
Abstract:
The acute abdomen of hernia mainly refers to an incarcerated hernia, which is a common acute abdomen in clinic. CT plays an important role in the diagnosis of incarcerated hernia. If incarcerated hernia is not handled timely and correctly, it may further develop into strangulated hernia, leading to intestinal necrosis, perforation and even endangering the patient′s life. Manual reduction can be attempted for patients with low risk of reduction, and active surgery should be performed for patients with unsuccessful reduction or high risk of manipulative reduction. More and more evidence shows that laparoscopic minimally invasive treatment of acute incarcerated hernia has practical clinical efficacy and fewer postoperative complications. The use of mesh in incarcerated hernia surgery has also been shown to be safe and feasible, as long as it is properly selected, even in incarcerated hernia repair during enterectomy, mesh does not increase the risk of infection in the surgical area and greatly reduces the likelihood of postoperative recurrence. At the same time, the concept of accelerated rehabilitation surgery was used to strengthen perioperative management, reduce complications and promote rehabilitation of patients.
