Title:Hernia-myopectineal orifice、sliding henia、Bassini / shouldice procedure
[Myopectineal orifice]
(圖)The MPO is then composed by two regions separated by the inguinal ligament; the suprainguinal region, marked by one asterisk and site for direct and indirect inguinal hernias, and a small subsegment of the subinguinal region, (marked by two asterisks), site for femoral hernias.
[sliding hernia] 只可以經由姿勢變換(例如平躺)就自己歸位的疝氣。
[reducible hernia] 只經由外力推擠(如自己用手推)就可以推回去的疝氣。
[non-reducible hernia] 推不回去的疝氣>>>此時就符合緊急開刀的indication。
[tendion-free repair]
無張力修補(tension-free repair,TFR),其定義是修補過程不用縫線的力量硬把組織與組織或組織與人工網拉在一齊(forceful pull between tissues or a tissue-prosthetic junction)而是應用一塊人工網或網具(prosthetic mesh or device)來取代或加強疝氣缺損的組織
腹股溝疝氣修補的方式:
[早期- Bassini procedure]
以自體組織做腹股溝腹壁修補,原理如同為破洞關上門的平面架溝
[現今- Shouldice procedure]
以自體組織做腹股溝腹壁修補重建,原理如同為破洞關上數道門的立體架構
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