ID 110443
タイトルヨミ
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
タイトル別表記
Clinical study of 26 patients who underwent an operation for a hemoral hernia in Tokushima Prefectural Miyoshi Hospital
著者
宮内, 隆行 徳島県立三好病院外科
橋本, 拓也 徳島県立三好病院外科
黒田, 武志 徳島県立三好病院外科
倉立, 真志 徳島県立三好病院外科
矢田, 清吾 徳島県立三好病院外科
藤峰, 正昭 徳島県立三好病院外科
キーワード
femoral hernia
incarceration
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
56
2
開始ページ
64
終了ページ
68
並び順
64
発行日
2000-04-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版