导航菜单
网站标志
点评搜索
点评详情
发布于:2019-5-22 00:53:48  访问:16 次 回复:0 篇
版主管理 | 推荐 | 删除 | 删除并扣分
Hernia (thin arrow) and abscess spreading to the suitable thigh (bold
Authors E), and p38 MAP kinases. The ERK pathway is a part of femoral below the inguinal ligament and around the inside with the femoral artery, and sufficient irrigation was performed. 2 Schema on the pectineus muscle flapKubo et al. BMC Surgery (2015) 15:Web page three ofFig. three Intra-operative image from the femoral abscess soon after incision and drainage (thin arrow)Discussion Hernial orifices PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28607003 in obturator hernias are modest and inflexible; as a result, incarcerated Richter‘s hernias frequently occur. Thus, any delay in a diagnosis may perhaps lead to necrosis and perforation of the tiny bowel or even a concomitant femoral abscess, as was observed within the patient within the present case, and peritonitis. Having said that, recent advances in diagnostic imaging have led to improvements in the diagnosis price of obturator hernias making use of computed tomography (CT) as well as other imaging approaches [3?]. The only therapy for obturator hernias is surgery. Different surgical approaches include things like abdominal, inguinal, retropubic, and transperitoneal and, far more recently, laparoscopic approaches. Basic closure of the hernia defect with interrupted sutures or placement of a synthetic mesh are the preferred strategy of herniorrhaphy mainly because they may be connected with the lowest complication prices [3, 4]. An obturator hernia having a concomitant femoral abscess is exceptionally rare, with only 16 situations (such as the present case) becoming reported to date in Japan [6]. The average age of sufferers in these reports was 83.7 years, and all individuals, except for one particular, had been female. Because the typical variety of days between disease onset and surgery was around 19, delays in diagnoses have been implicated inside the formation of abscesses. The treatment of an obturator hernia having a concomitant femoral abscess demands resection of your perforated section of your modest bowel and drainage with the femoral abscess. In some cases, the femoral abscess is opened initial and laparotomy and resection of the perforated section on the modest bowel are performed at a later date inside a second surgical process. PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28827318 Even so, in other instances, resection in the perforated section on the compact bowel anddrainage in the femoral abscess are both performed within a single surgical process.Hernia (thin arrow) and abscess spreading towards the ideal thigh (bold arrow)in to the proper obturator canal. The proximal intestine was severely dilated along with the distal intestine had collapsed. The incarcerated intestine was lowered, along with the abscess had formed on account of a perforation within the tiny intestine by the incarcerated obturator hernia. We performed partial resection of your small intestine and easy closure of your obturator foramen. A large volume of pus was drained at incision from the appropriate femoral under the inguinal ligament and around the inside on the femoral artery, and adequate irrigation was performed. We repaired this web-site by filling the drained femoral abscess together with the pectineus muscle, which had been incised from part of your attachment to the pubis bone, and fixed it tothe adductor longus muscle to be able to reduce the residual abscess and danger of recurrence immediately after surgery (Fig. two). Two 15 French continuous suction drains (J-VAC? were placed in the thigh (Fig.
共0篇回复 每页10篇 页次:1/1
共0篇回复 每页10篇 页次:1/1
我要回复
回复内容
验 证 码
看不清?更换一张
匿名发表 
脚注信息

©2017 大众电脑    








友情链接:第一环评网 环保 数字化展厅 烟台大樱桃 天猫网购商城