妊娠期腹股沟疝外科处理要点

Key points of surgical lmanagement of inguinal hernia during pregnancy

妊娠期腹股沟疝比较少见,但对其如何外科处理是值得疝外科关注的问题。对于无嵌顿和绞窄的妊娠期腹股沟疝病人应采取“观察等待”的策略,对于必须手术治疗的妊娠期腹股沟疝病人可采用组织修补或应用补片的无张力修补。考虑到女性股疝的发病率高于男性,当采用组织修补方式时,Mc Vay修补方法比Bassinni修补方法更适合;采用补片进行无张力修补时,腹膜前间隙修补比Lichtenstein修补对于降低术后股疝的发生率方面有优势。妊娠期腹股沟疝修补手术采用局部浸润麻醉是一种安全有效的选择。

The groin hernia in gestation is not common.How to manage the pregnant groin hernia is a valuable issue for hernia surgery.The“watchful waiting”strategy is support to the pregnancy groin hernia patients who are not in the event of incarceration or strangulation.When surgical hernia repair has to be carried out on pregnant groin hernia patients,both tissue repair or tension free repair may be the choice.Referring to the higher incidence of femoral hernia in female than that males,Mc Vay hernia repair method is prior to the Bassinni method,and similarly,the method of preperitoneal space mesh hernia repair is better than the Lichtenstein repair method.Regional anesthesia is the correct choice for the groin hernia repair operation of pregnant patients.