关键词: Femoral hernia Femorocele Robotic surgery

来  源:   DOI:10.1016/j.ijscr.2023.108123   PDF(Pubmed)

Abstract:
UNASSIGNED: A femoral hernia is a protrusion of the peritoneum through a defect in the femoral ring into the femoral canal. A rare form of a femoral hernia is a femorocele, which requires a highly skilled physician for accurate diagnosis and management. Clinical examination is the gold standard for diagnosis, with a CT used to confirm clinical suspicion. Once diagnosed, the only curative option is surgery. This case report provides evidence for the use of robotics to treat a femorocele.
METHODS: A 23-year-old female with a two-year history of a non-reducible fluid-filled swelling in the right groin presented to the surgical clinic. Upon clinical suspicion and CT imaging, a femorocele was diagnosed. The surgeon opted for a femoral hernia repair using the da Vinci surgical system. Peritoneal connection with the hernia sac was noted, confirming the diagnosis. The content of the cystic mass was reduced; further to that, the omental content was also reduced and the hernia was repaired. The patient tolerated the procedure with no complications.
UNASSIGNED: This case highlights the use of robotics to treat a rare clinical entity. Robotics was used for this case as it provided exceptional ergonomics, three-dimensional visualization, and wristed movements.
CONCLUSIONS: A femorocele is a rare form of a femoral hernia that requires accurate diagnosis and proper management. In this case, we demonstrated the possibility of using robotics as a viable option for treatment of a femorocele.
摘要:
股疝是腹膜通过股骨环中的缺陷突出到股骨管中。一种罕见的股疝是股疝,这需要高技能的医生进行准确的诊断和管理。临床检查是诊断的金标准,用CT证实临床怀疑。一旦确诊,唯一的治疗选择是手术。此病例报告为使用机器人技术治疗股骨膨出提供了证据。
方法:一名23岁女性患者,有2年的右腹股沟充满不可还原的液体肿胀病史。根据临床怀疑和CT成像,诊断为股骨膨出。外科医生选择使用达芬奇手术系统进行股疝修复。注意到与疝囊的腹膜连接,确认诊断。囊性肿块的含量减少;此外,网膜含量也减少,疝得到修复。患者耐受手术,无并发症。
这个案例突出了使用机器人技术来治疗一种罕见的临床实体。机器人被用于这种情况,因为它提供了特殊的人体工程学,三维可视化,和扭动的动作。
结论:股疝是一种罕见的股疝,需要准确的诊断和适当的治疗。在这种情况下,我们证明了使用机器人技术作为治疗股骨囊肿的可行选择的可能性.
公众号