老年腹股沟疝复发原因、预防及处理

被引:11
作者
刘刚磊
任峰
周建平
机构
[1] 中南大学湘雅二医院老年外科
关键词
老年; 腹股沟疝; 复发; 预防;
D O I
10.19538/j.cjps.issn1005-2208.2018.08.13
中图分类号
R656.21 [];
学科分类号
摘要
老年腹股沟疝病人往往伴随高腹压的多发合并症、组织退变、结缔组织胶原代谢异常、肥胖、慢性肾病等术后复发的危险因素,属于复发的高概率人群。从复发角度讲:老年病人手术应该更加积极,完善围手术期准备,减少等待观察时间;初次手术如果情况允许尽量选择全身麻醉、腹腔镜手术,若情况差可以选择局部麻醉下行开放手术,若不适宜人工材料,建议选用Shouldice术;复发修补手术尽量避免重复瘢痕入路;专业的手术团队尤为重要。
引用
收藏
页码:889 / 893
页数:5
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