PDF(Pubmed)
Abstract：
BACKGROUND: While the use of bone anchor fixation for abdominal wall reconstruction for supra-pubic incisional hernia is well described (Yee et al., 2008 [1]), we show in this case report, written in line with the SCARE criteria (Agha et al., 2020 [2]), a novel use of this tool as an adjunct in the repair of a ten time recurrent inguinal hernia.
METHODS: A 65 years old multiparous, diabetic non-obese female, with previous abdominoplasty was submitted for left inguinal hernia for ten times, between multiples complications between infection, more than one mesh excision by anterior approach and laparoscopic approach. The wide range of procedures culminated in a destruction of the abdominal wall, making it impossible for a usual fixation of mesh in the region. Therefore, a multidisciplinary approach was planned for the patient with a bone anchor as a mesh fixation method. With a year follow up we did not observe a local hernia recurrence.
UNASSIGNED: Hernia itself is a multifactorial disease. As a anatomical defect, surgery is the only effective treatment. Our report brings a novel approach to a challenging case with many previous unsuccessful applications of conventional surgeries. Hence, we stimulate the multidisciplinary discussion for enhancing post operatory outcomes and a better point of care for the patient.
METHODS: A 65 years old multiparous, diabetic non-obese female, with previous abdominoplasty was submitted for left inguinal hernia for ten times, between multiples complications between infection, more than one mesh excision by anterior approach and laparoscopic approach. The wide range of procedures culminated in a destruction of the abdominal wall, making it impossible for a usual fixation of mesh in the region. Therefore, a multidisciplinary approach was planned for the patient with a bone anchor as a mesh fixation method. With a year follow up we did not observe a local hernia recurrence.
UNASSIGNED: Hernia itself is a multifactorial disease. As a anatomical defect, surgery is the only effective treatment. Our report brings a novel approach to a challenging case with many previous unsuccessful applications of conventional surgeries. Hence, we stimulate the multidisciplinary discussion for enhancing post operatory outcomes and a better point of care for the patient.
摘要：
背景：虽然使用骨锚固定用于耻骨上切口疝的腹壁重建已得到很好的描述（Yee等人。,2008年[1])，我们在这个案例报告中显示，按照SCARE标准编写(Agha等人。,2020[2]），该工具作为十次复发性腹股沟疝修复的辅助手段的新颖用途。
方法：65岁的多胎，糖尿病非肥胖女性，与以前的腹部成形术提交的左腹股沟疝十次，感染之间的多种并发症，通过前入路和腹腔镜入路切除一个以上的网状物。广泛的手术最终导致腹壁破坏，使得不可能在该区域进行通常的网眼固定。因此,计划对患者采用多学科方法,采用骨锚作为网片固定方法.经过一年的随访，我们没有观察到局部疝气复发。
■疝本身是一种多因素疾病。作为一种解剖学缺陷,手术是唯一有效的治疗方法。我们的报告为一个具有挑战性的病例带来了一种新颖的方法，该病例以前有许多不成功的常规手术应用。因此，我们鼓励多学科讨论,以提高术后结局和更好地照顾患者.
方法：65岁的多胎，糖尿病非肥胖女性，与以前的腹部成形术提交的左腹股沟疝十次，感染之间的多种并发症，通过前入路和腹腔镜入路切除一个以上的网状物。广泛的手术最终导致腹壁破坏，使得不可能在该区域进行通常的网眼固定。因此,计划对患者采用多学科方法,采用骨锚作为网片固定方法.经过一年的随访，我们没有观察到局部疝气复发。
■疝本身是一种多因素疾病。作为一种解剖学缺陷,手术是唯一有效的治疗方法。我们的报告为一个具有挑战性的病例带来了一种新颖的方法，该病例以前有许多不成功的常规手术应用。因此，我们鼓励多学科讨论,以提高术后结局和更好地照顾患者.
