PDF(Pubmed)
Abstract：
Incisional hernia refers to an abdominal wall defect at the site of a previous surgical incision. In this paper, we describe two patients who previously underwent open kidney stone surgery several years ago and had the ipsilateral recurrent stones. They were both managed by a mini percutaneous nephrolithotripsy (PCNL) to treat kidney stones. Case 1 was a 50-year-old female with right recurrent staghorn stones after 5 years of open surgery and required two PCNL procedures to achieve stone-free status. Case 2 was a 74-year-old male with significant comorbidities who had a right 27 mm recurrent kidney stone after 10 years of open nephrolithotomy. Both patients experienced no postoperative complications after PCNL. These cases show that in cases of lumbar incisional scar hernias, mini PCNL with ultrasound guidance and proper patient positioning can be an optimal approach for kidney stone treatment.
摘要：
切口疝是指先前手术切口部位的腹壁缺损。在本文中,我们描述了两名患者，他们在几年前曾接受过开放性肾结石手术，并且患有同侧复发性结石。他们都通过微型经皮肾镜碎石术（PCNL）治疗肾结石。病例1是一名50岁的女性，在开放手术5年后患有右侧复发性鹿角结石，需要两次PCNL手术才能达到无石状态。病例2是一名74岁的男性，有明显的合并症，在10年的开放性肾镜取石术后，患有右27毫米复发性肾结石。两名患者在PCNL术后均无并发症。这些病例表明，在腰椎切口瘢痕疝的病例中，具有超声引导和正确患者定位的微型PCNL可能是肾结石治疗的最佳方法。
