关键词: 嵌顿, 腹腔镜, 股疝, 腔隙韧带

Abstract: ［Abstract］ Objective To investigate the clinical effect of laparoscopic incising lacunare ligament in the treatment of incarcerated femoral hernia. Methods The clinical data of patients with incarcerated femoral hernia were retrospectively analyzed in our hospital from March 2010 to March 2018. Results Twenty-three patients（5 males，18 females） with incarcerated femoral hernia underwent laparoscopic lacunare ligament dissection treatment （TAPP operation）. There was no transfer to laparotomy because the incarcerated contents could not be reset. Four cases of patients with intestinal necrosis were subjected to bowel resection, and one case with bladder injury underwent laparoscopic suture. The operation time ranged from 50 to 180 min（103.36±52.87）, the bleeding was 2?50 ml（13.7±10.2），and the length of hospital stay was 3 to 15 days （mean 5.80 ± 3.25）. The post-subcutaneous emphysema and seroma occurred in 15 and 7 cases respectively were cured by conservative treatment, and one case of wound infection was cured by dressing change. Postoperative adhesion intestinal obstruction occurred in one patient and got recovery after conservative treatment. All 23 cases were followed up for 1 to 48 months. No recurrence, patch infection were found. Conclusion The surgical procedure treated incarcerated femoral hernia by laparoscopic incising lacunare ligament can effectively avoid the secondary injury of the bowel and reduce the rate of laparotomy.

Key words: laparoscopic, lacunare ligament, femoral hernia, incarcerated