Laparoscopic reduction of an acute gastric volvulus and repair of a hernia of Bochdalek.
Laparoscopic reduction of an acute gastric volvulus and repair of a hernia of Bochdalek.
复制标题
腹腔镜下急性胃扭转复位和 Bochdalek 疝修补术。
DOI：
10.1097/00129689-200206000-00009
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
B. Ammori
中科院分区：
文献类型：
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作者：
G. Harinath;P. S. Senapati;M. Pollitt;B. Ammori
我们报告一例急性绞窄胃扭转在一个成年女性患者的疝气Bochdalek是通过腹腔镜方法成功修复。左侧膈疝包括一个绞窄但存活的胃扭转和一个未受损的结肠。疝内容物减少，4厘米先天性膈缺损主要用不可吸收缝合线修复。患者术后第2天出院，7个月无症状。不像以前很少报道的选择性腹腔镜修复无并发症的Bochdalek疝，这似乎是第一个报告的紧急腹腔镜修复复杂的疝这种类型。
We report a case of an acute strangulated gastric volvulus in a hernia of Bochdalek in an adult female patient that was repaired successfully via the laparoscopic approach. A left-sided diaphragmatic hernia contained a strangulated but viable gastric volvulus and a noncompromised colon. The contents of the hernia were reduced, and the 4-cm congenital diaphragmatic defect was primarily repaired with nonabsorbable sutures. The patient was discharged on the second postoperative day and remained symptom-free at 7 months. Unlike the very few previous reports of elective laparoscopic repair of uncomplicated Bochdalek hernias, this appears to be the first report of an urgent laparoscopic repair of a complicated hernia of this type.