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疝的治疗

非手术治疗疝可能需要进行“观察”,或许需要疝带、束身内衣或绷带等可穿戴设备进行物理支持。尤其是在患者的疝尚未变大或未导致任何疼痛或不适。12

恢复解剖结构的手术是疝修补的唯一方法,通常是女性和有症状的患者需要进行手术治疗。事实上,美国每年进行的疝修补手术超过一百万例。13
 

成人疝修补术

对于疝患者,医疗机构可能考虑采用多种手术方法:

  • 开放性手术

    某些情况下,如以前的手术(例如,剖腹产术、子宫切除或同一区域的疝)导致疤痕皮肤和纤维化,从而不适合采用微创手术(如下所述)时,可以采用传统的开放性手术。

  • 微创手术技术

    这种技术与开放手术相比,减少并发症、减少疼痛和疤痕及缩短术后恢复时间,越来越受欢迎。例如, 腹腔镜检查修补术只需要腹壁小切口,只要能够放入微创设备进行手术修补即可。14

    单孔腹腔镜手术 (SILS™) 是腹腔镜疝修补术的另一种形式,通过肚脐实施。它的侵入性比传统的腹腔镜修补术低,可以最大限度降低并发症的风险。15

  • 机器人疝修补术

    被公认为是安全有效的手术。通过机器人对手术区域进行三维显示,并精确控制手术工具。

外科医生也可以选择使用疝补片来加强疝修补术并降低复发率。疝补片还可以提供其它益处,如最大限度降低手术时间和减少恢复时间来改善患者结果。16

有关更多详细信息,请访问我们便于患者访问的网站:www.herniainfo.com

 


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  13. de Sá Ribeiro, F.A., de Araujo Fernandes, B. and de Araujo Simões Corrêa, J.P. (2014) Inguinal Hernia Repair with Local Anesthesia in the Outpatient—10 Year Experience. International Journal of Clinical Medicine, 5, 644-649.
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