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transmesocolic hernia with strangulation in a patient without surgical history: Case report

World Journal of Gastroenterology 2013年第12期19卷 1997-1999页

作者： Peel Jung Min Dae Kim Tae Hyun Ryu Sung Ho Choi Han Se Kim Kang Hun Lee Jhong Hyun Park Department of Internal Medicine Bongseng Memorial Hospital Department of Gastroenterology Bongseng Memorial Hospital Department of General Surgery Bongseng Memorial Hospital

Transmesenteric hernias have bimodal distribution and occur in both pediatric and adult patients. In the adult population, the cause is iatrogenic, traumatic, or inflammatory. We report a case of transmesocolic hernia in an elderly person without any preoperative history. An 84-year-old Korean female was admitted with midabdominal pain and distension for 1 d. On abdominal computed tomography, we diagnosed transmesocolic hernia with strangulated small bowel obstruction, and performed emergency surgery. The postoperative period was uneventful and she was discharged 11 d after surgery. Hence, it is important to consider the possibility of transmesocolic hernia in elderly patients with signs and symptoms of intestinal obstruction, even in cases with no previous surgery. 2013 Baishideng. All rights reserved.

关键词： transmesocolic hernia Strangulation Operation Abdominal computed tomography Small bowel obstruction Internal hernia

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The analysis of transmesocolic access and retrocolic access in laparoscopic ureterolithotomy at left upper ureteral calculus

The analysis of transmesocolic access and retrocolic access ...

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2014浙江省医学会男科学泌尿外科学学术年会

作者： MAO Jin-shui XU Xiao-jiang WANG Ying-bin TCM Hospital of QuZhou City of ZheJiang Province

Objective:To compare the clinical value of transmesocolic access and retrocolic access in left laparoscopic ***:According to the operation methods,the patients were divided into transmesocolic access(A group) and retrocolic access(B group),the differences of the operation time、the bleeding volume、the resumption of bowel movement、hospital stay、complications、 the success rate、blood transfusion rate and the ambulation were ***:The operation time、the bleeding volume、the resumption of bowel movement and hospital stay of A group outweighed B group,the differences were significant(p0.05).Conclusion:The transmesocolic access in left laparoscopic ureterolithotomy is safe,effective,minimal traumatic,the method is worthy of popularising.

关键词： laparoscopy ureteral calculus transmesocolic retrocolic

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