腹股沟疝手术中血管意外损伤处理  

Management of accidental vascular injury during inguinal hernia surgery

作　　者：陈思梦[1] 李原 CHEN Si-meng;LI Yuan(Deartment of General Surgery,the First Affiliated Hospital of Nanjing Medical Universisy,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院普外科,江苏南京210009

出　　处：《中国实用外科杂志》2023年第6期675-679,共5页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.82202375)。

摘　　要：血管损伤是腹股沟疝手术常见并发症之一,大血管损伤则比较罕见。血管损伤后,最常见的并发症是出血和血肿形成,大血管损伤可能造成严重后果。腹腔镜腹股沟疝手术涉及的血管更多、范围更广。为减少血管损伤带来的危险,降低出血和腹膜外血肿等意外事件发生率,外科医师需要熟悉手术相关血管的解剖和生理特点,掌握血管损伤后的处理原则和补救措施,腹股沟疝手术才能更快捷、更安全地进行。Vascular injury is one of the common complications of inguinal hernia surgery,while major vascular injury is rare.For vascular injury,the most common complications are hemorrhage and hematoma formation,and major vascular injury may have serious consequences.Laparoscopic surgery for inguinal hernia involves more vessels and a wider anatomical range.In order to reduce the risk of vascular injury and have less the accidents such as bleeding and preperitoneal hematoma,surgeons need to be familiar with the anatomical and physiological characteristics of the vessels related to the operation,and master the treatment principles and remedial measures after vascular injury,so that the inguinal hernia operation can be performed more quickly and safely.

关 键 词：腹股沟疝 手术 血管损伤 出血 腹膜外血肿 

分 类 号：R6[医药卫生—外科学]