Mesh-Plug 술식으로 치료한 교액성 폐쇄공 탈장
Strangulated Obturator Hernia
배종대, 배정민, 배태석, 최은하, 정호근, 정기훈, 정병욱, 배성한, 안우섭, 오민구,
소속 상세정보
배종대 ( Bae Jong-Dae )
동국대학교 의과대학 외과학교실
배정민 ( Bae Jung-Min )
동국대학교 의과대학 외과학교실
배태석 ( Bae Tae-Seok )
동국대학교 의과대학 외과학교실
최은하 ( Choi Eun-Ha )
동국대학교 의과대학 외과학교실
정호근 ( Jung Ho-Keun )
동국대학교 의과대학 외과학교실
정기훈 ( Jung Ki-Hoon )
동국대학교 의과대학 외과학교실
정병욱 ( Jung Byeong-Wuk )
동국대학교 의과대학 외과학교실
배성한 ( Bae Sung-Han )
동국대학교 의과대학 외과학교실
안우섭 ( Ahn Woo-Sup )
동국대학교 의과대학 외과학교실
오민구 ( Oh Min-Gu )
동국대학교 의과대학 외과학교실
KMID : 0371320040660050438
Abstract
Although are rare, they are associated with a high as diagnosis is often delayed and the condition occur in the elderly. The preoperative diagnosis is difficult because of nonspecific symptoms and sign. They often produce a small bowel obstruction. The treatment is always surgical. Several repair techniques have been described a sac ligation alone, a direct suture repair, and the use of autologous tissue or prosthetic repair. Recently, the placemnet of permanent mesh prostheses, in a clean contaminated operative field, has been performed due to the minimal wound-related morbidity and patient mortality. Thus, utlization a permanent mesh in an obturator hernia is a new. simple and effective method for repair. Two cases of a strangulated obturator hernia were experienced in elderly women. The perioneal cavity was not overly contaminated, with only necrotic foci on the herniated small bowel wall noted. A segmental resection of the small bowel was performed. Consequently, the hernia defect was closed with mesh-plug between the peritoneum and periosteum of the obturator foramen. Here, two cases of obturator herniae treated by use a mesh-plug are reported, with a brief review of the literature.
키워드
교액성 폐쇄공 탈장;메쉬-플러그;Strangulated obturator hernia;Mesh-plug
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