Clinical diagnosis and treatment of internal abdominal hernia / 国际外科学杂志

ABSTRACT

Objective To evaluate the preoperative diagnosis and treatment of internal abdominal hernia.Methods The clinical data from 38 patients with internal abdominal hernia,admitted to our hospital during the period from Jan.2001 to Dec.2011 were retrospectively analyzed.Results There were 50％ (19/38) patients of internal abdominal hernia caused by adhesion.Positive rate of CT detection was 65％ (13/20) and the correct percent of preoperative diagnosis was 73.7％ (28/38).Average time from admission to surgery was 18 h (3-78 h).There were 44.7％ (17/38) patients with intestinal necrosis and the average length of intestinal removal was 53 cm (15-170 cm).The rate of serious complication was 5.3％(2/38).Conclusions Atypical hernia was the main cause of internal abdominal hernia,and it is hard to diagnose early for the poorly positive rate of equipment inspection.Early diagnosis and treatment is possible when we correctly understood of the clinical features of internal abdominal hernia,then we can reduce the occurrence of serious complications.