Amyand\\的疝气很罕见,当阑尾位于疝囊内时发生,手术前很难诊断,并被认为是在手术中发现的。
■一名4岁的孩子被母亲带到诊所,主诉右侧腹股沟区肿胀。在临床诊断和影像学检查之后,发现有腹股沟斜疝.决定给孩子做手术,他被带到手术室接受全身麻醉.在右腹股沟侧做了一个切口,到达精索和口内部,在那里发现了一个疝囊,里面有发炎的阑尾。阑尾是从疝囊边缘切除的,绑在它的基地,和削减。最后,疝囊在没有使用网眼的情况下闭合,手术切口闭合,伤口被包扎好了.
■腹股沟疝的诊断最初是根据患者的症状做出的,以及通过超声成像。对于手术管理,有一种分类叫做洛萨诺夫和巴萨森,讨论了不同类型的腹肌和疝所需的手术治疗方案。根据患者的临床表现和阑尾的情况,将疝气分为四种类型,每种类型都有自己的治疗方法。
■Amyand\'s疝气是在手术期间诊断的一种罕见疾病。
Amyand\'s hernia is rare, occurs when the appendix is located within the hernial sac, is difficult to diagnose prior to surgery, and is considered to be discovered during surgery.
UNASSIGNED: A 4-year-old child was brought to the medical clinic by her mother with a swelling complaint in the right inguinal region. Following clinical diagnosis and imaging tests, an indirect inguinal hernia was found to be present. It was decided to perform surgery on the child, and he was taken to the operating room and given general anesthesia. An incision was made on the right inguinal side, reaching the spermatic cord and the ostium internum, where a hernia sac was found containing the inflamed appendix. The appendix was removed from the edges of the hernia sac, tied off at its base, and cut. Finally, the hernia sac was closed without the use of a mesh, the surgical incision was closed, and the wound was dressed.
UNASSIGNED: The diagnosis of inguinal hernia is initially made based on the symptoms presented by the patient, as well as through ultrasound imaging. For surgical management, there is a classification called Losanoff and Basson, which discusses the surgical treatment options necessary for different types of Amyand hernias. The hernia is classified into four types based on the clinical presentation of the patient and the condition of the appendix, and each type has its own treatment.
UNASSIGNED: Amyand\'s hernia is an uncommon condition diagnosed during surgery.