Application of tension-free hernia repair in treatment of large one cases of lumbar hernia.docVIP

 PAGE \* MERGEFORMAT 5 Application of tension-free hernia repair in treatment of large one cases of lumbar hernia Author: Gao Jian-jun, Ming-Xia Li, Lin Jiang, SUN Gang, Yu Wang, Yang [Keywords:] Lumbar hernia; Repair Patients, male, 79 years old. 10 years ago, stumbled on the left side of the waist an ‘egg’ size of the tumor, but no significant discomfort, ignored the request. In recent years, mass gradually grow up, when there is pain discomfort, gradually come to hospital for treatment. There ‘diabetes’ history, no history of trauma and heavy physical labor. Without chronic cough, constipation, a history of prostatic hypertrophy. Specialist: The local uplift can be seen on the left waist, 12 waist ribs reach of a triangular area of about 10 cm * 10 cm size, mass, texture soft, smooth, clear boundary, range of good, the surface of the skin to normal, no tenderness, flat lying approach also can be satisfied after the mass, waist Triangle palpable tissue defect and fissures, and coughing from time to time the impact of a sense of standing after the tumor repeated. B-ultrasonic examination: left waist ‘mass’ exploratory see a continuous interruption of the deep fascia echo, an area of approximately 3.6 cm * 4.1 cm, local see the low echo organ prolapse, an area of approximately 4.7 cm * 5.5 cm * 1.9 cm, after pressure is also satisfied. Diagnosis: left waist hernia. Epidural anesthesia in surgery, patient was lying on the right, contralateral knees, bent hip, waist booster, so that edge of iliac crest and rib opened as far as possible. Since the first rib 12 within the square around the waist under the ridge angle at oblique triangular incision about 8 cm, skin incision, subcutaneous, blunt sharp combination of separate muscles, fascia, see the transverse fascia defect is revealed hernia sac, see hernia capsule is about 10 cm * 10 cm size, hernia and intestinal contents of retinal organization, will be also satisfied that the contents abdominal hernia, see he