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Articolul urmator |
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SM ISO690:2012 BOLEA, Maria. Treatment options in sliding inguinal hernia.. In: MedEspera: International Medical Congress for Students and Young Doctors, Ed. 7th edition, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, 7, pp. 102-103. |
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MedEspera 7, 2018 |
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Congresul "International Medical Congress for Students and Young Doctors" 7th edition, Chişinău, Moldova, 3-5 mai 2018 | ||||||
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Pag. 102-103 | ||||||
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Introduction. The prolaps of a retroperitoneal viscus can cause a sliding hernia. From 2% to 5% of all inguinal hernias are of sliding variety. Aim of the study. Analysis of the treatment experience of patients with sliding inguinal hernia. Materials and methods. The retrospective study of a group of patients aged between 42 and 78, diagnosed and treated in SCM "St. Archangel Michael "during the years 2015 2017. Results. This pathology is more common for men 95% (32 cases), women 5% (2 cases). Direct her nia was found in 15% (6 cases), the oblique in 85% (28 cases). Anatomically was appreciated 30% of bladder slippage 10 patients, 52% of sigmoid colon slippage 18 patients and 18% of cases with caecum slippage 6 patients, 2 of whom were associated wit h acute phlegmonous appendicitis. Strangulated hernia was detected in one case, incarcerated in 82% 28 patients and simple hernia was founded in 15% 5 cases. In 41% of cases (14), the diagnosis was established preoperatively, using EUS, R abdomen, and irigography. In 59% of cases (20) the diagnosis was established during the surgery. Surgical treatment has been differentiated depending on the clinical form of hernia and the present complications. The reconstruction of the hernia defect was performed in: 16 cases with Liechtenstein technique, 2 cases the technique of Shouldice, 8 cases the technique of Postemski, 2 cases the technique of Kimbarovski in, one case the hernioplasty after Fabritus. Conclusions. The proportion of sliding hernias is even highe r in the elderly. Hernias of this kind are found almost exclusively in males and usually on the left side. The cleavage hernias occur more frequently at patients that suffer of obesity and inguinal hernia for many years. Surgical reconstruction is differen tiated and adapted to the clinical particularities of each case. |
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Cuvinte-cheie sliding hernia, surgery, plastics |
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