ID 110443
Title Transcription
トウイン ニオケル ダイタイ ヘルニア シュジュツ 26ショウレイ ノ リンショウテキ ケントウ
Title Alternative
Clinical study of 26 patients who underwent an operation for a hemoral hernia in Tokushima Prefectural Miyoshi Hospital
Author
Miyauchi, Takayuki Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Hashimoto, Takuya Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Kuroda, Takeshi Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Kuratate, Shinji Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Yada, Seigo Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Fujimine, Masaaki Department of Surgery, Tokushima Prefectural Miyoshi Hospital
Keywords
femoral hernia
incarceration
Content Type
Journal Article
Description
We performed this study to investigate the differences in clinical features between incarcerated femoral hernias and non-incarcerated cases. We operated on 26 patients with a femoral hernia from April 1989 to December 1998. Twenty-four patients were female and two were male. Thir mean age at the time of operation was 68.2±15.4 years, and those older than 60 years were remarkably high. All females had a history of abortion more than twice. Eighteen of 26 (69.2%) hemoral hernias occurred on the right side, 7 on the left, and 1 on both sides. Those with an incarcerated hernia were 46.2% (12/26). Almost all patients without incarceration had only femoral tumors or swelling. On the contrary, a large number of the patients with an incarcerated hernia complained of abdominal or femoral pain, suggesting a hernial strangulation. Significant increases in white blood cell counts were recognized in the incarcerated cases compared to those without incarceration (9158.3± 2155.3 vs 6602.9±1049.5/mm3, respectively;P=0.0001). Additionally, the postoperative hospitalization periods of the patients with incarcerations were remarkably prolonged compared to those without an incarceration. According to the contents of the hernia in the 12 patients with incarcerations, we detected the small bowel in 9 and the grater omentum in 3. Six of 9 patients with an incarcerated small bowel had necrotic complications of strangulated small bowel. However, there was no clinical difference compared to the other 6 patients without a necrotic small bowel. In conculusion, we should recognize the possibility of femoral hernias in the treatment of patients complaining of a tumor or pain in the femoral triangle.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
56
Issue
2
Start Page
64
End Page
68
Sort Key
64
Published Date
2000-04-25
FullText File
language
jpn
TextVersion
Publisher