[1]吴立胜 汪宏.完全腹膜外腹腔镜腹股沟疝修补术中出血的原因分析及处理[J].中国微创外科杂志,2013,13(7):656-658.
　Wu Lisheng,Wang Hong..Analysis of Reasons and Management of Intraoperative Bleeding in Total Extraperitoneal Laparoscopic Inguinal Hernia Repair[J].Chinese Journal of Minimally Invasive Surgery,2013,13(7):656-658.
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完全腹膜外腹腔镜腹股沟疝修补术中出血的原因分析及处理()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年7期
页码:
656-658
栏目:
短篇论著
出版日期:
2013-07-20

文章信息/Info

Title:
Analysis of Reasons and Management of Intraoperative Bleeding in Total Extraperitoneal Laparoscopic Inguinal Hernia Repair
作者:
吴立胜 汪宏
安徽医科大学第三附属医院暨合肥市第一人民医院微创外科，合肥230061
Author(s):
Wu Lisheng;  Wang Hong.
Department of Minimally Invasive Surgery, The Third Affiliated Hospital of Anhui Medical University, Hefei First People's Hospital, Hefei 230061， China
关键词:
腹股沟疝; 腹腔镜; 疝修补术; 出血
Keywords:
Inguinal hernia; Laparoscope; Herniorrhaphy; Hemorrhage
分类号:
R656.2+1
文献标志码:
A
摘要:
目的探讨完全腹膜外腹腔镜腹股沟疝修补术(total extraperitoneal，TEP)术中出血的原因及处理。方法回顾性分析我院2010年10月~2012年12月5例TEP术中出血的临床资料。结果1例“死亡冠”出血中转开放手术止血，2例腹壁下动脉、1例耻骨梳韧带、1例耻骨后静脉丛出血，均成功腔镜下止血成功完成手术。5例术后3个月随访，疝无复发。结论TEP术中出血主要是外科医生相对不熟悉腔镜修补腹股沟疝的肌耻骨孔后入路的解剖致误操作所致；手术医生应熟悉解剖，手术发生血管并发症时，应冷静、及时分析原因并正确处理，才能确切止血，保证手术成功。
Abstract:
ObjectiveTo explore the reasons and management of intraoperative bleeding in total extraperitoneal (TEP) laparoscopic inguinal hernia repair.MethodsRetrospective analysis of the clinical data of 25 cases from October 2010 to December 2012 was made.Results1 patient required conversion to open surgery because of corona mortis haemorrhage. Bleeding reasons of other 4 cases included inferior epigastric artery bleeding in 2 cases, pectineal ligament bleeding in 1 case, and retropubic venous plexus bleeding in 1 case. Laparoscopic hemostasis was completed successfully in the 4 cases. A 3month followup of the 5 cases showed no recurrence of hernia.ConclusionsIntraoperative bleeding is caused mainly by surgeons’ unfamiliarity with the anatomy of the groin area. Surgeons should be familiar with the anatomy, remain composed and take timely and proper measures to ensure the success of operation when complications occur.

参考文献/References:

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更新日期/Last Update: 2014-10-14