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Principles of the surgical management of incarcerated hernia / 国际外科学杂志
International Journal of Surgery ; (12): 802-806, 2023.
Article en Zh | WPRIM | ID: wpr-1018067
Biblioteca responsable: WPRO
ABSTRACT
The acute abdomen of hernia mainly refers to an incarcerated hernia, which is a common acute abdomen in clinic. CT plays an important role in the diagnosis of incarcerated hernia. If incarcerated hernia is not handled timely and correctly, it may further develop into strangulated hernia, leading to intestinal necrosis, perforation and even endangering the patient′s life. Manual reduction can be attempted for patients with low risk of reduction, and active surgery should be performed for patients with unsuccessful reduction or high risk of manipulative reduction. More and more evidence shows that laparoscopic minimally invasive treatment of acute incarcerated hernia has practical clinical efficacy and fewer postoperative complications. The use of mesh in incarcerated hernia surgery has also been shown to be safe and feasible, as long as it is properly selected, even in incarcerated hernia repair during enterectomy, mesh does not increase the risk of infection in the surgical area and greatly reduces the likelihood of postoperative recurrence. At the same time, the concept of accelerated rehabilitation surgery was used to strengthen perioperative management, reduce complications and promote rehabilitation of patients.
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Texto completo: 1 Base de datos: WPRIM Idioma: Zh Revista: International Journal of Surgery Año: 2023 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Idioma: Zh Revista: International Journal of Surgery Año: 2023 Tipo del documento: Article