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108歲高齡者的疝氣手術

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108 歲高齡者的疝氣手術

 

林×先生,民前4年5月生,因右側腹股溝復發性疝氣,常會膨出引起腹痛,需自行按壓歸回。105年10月由其孫帶來門診,病人神智清楚,在親人協助下可自行走路,交談,主訴45年前在台北建興外科開過右側疝氣,近半年手術部位有塊狀凸出物,伴有不舒服,需用手推回才能緩解,左側40年前在台北馬偕也開過、未復發.因老先生隨時有小腸崁頓的危險,雖然高齡,與其家人討論後還是決定接受手術治療,105年10月6日下午入院做一些常規術前檢查,麻醉科照會,10月7日上午在Xylocaine及Marcaine局部麻醉下順利完成人工網塞 (PerFix-L-M) 修補手術, 是間接型復發。手術中未使用任何其他麻醉藥物,術中病人完全清醒,還會交待我不要忘記將其盲腸推回,完成手術後欣然答應和我拍照留念。術後傷口微痛,進食大小便正常,隔天出院,六天回來拆線,三個月及兩年的追縱未有再復發或相關症狀。這是個人疝氣手術經驗中年齡最高的病人。結論:高齡者的疝氣手術的風險可用局部麻醉及簡單有效的修補方式來降低,儘可能避免緊急手術,以降低疾病自身及手術併發症的風險。

108歲疝氣手術

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