Kouba Erik J, Hubbard J Slade, Wallen Eric, Pruthi Raj S
Division of Urologic Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Urol Int. 2007;79(3):276-9. doi: 10.1159/000107963.
Non-bladed trocars, radially-dilating systems, and conical blunt devices are considered less traumatic to the abdominal wall because they do not incise the fascia itself. Consequently, several authors have suggested that closure of the abdominal fascia may be unnecessary if such non-bladed laparoscopic trocars are used. We report of a case in whom a port-site hernia was diagnosed at the site of a 12-mm non-bladed trocar 11 days after laparoscopic nephrectomy.
无刀片套管针、径向扩张系统和圆锥形钝性器械被认为对腹壁的创伤较小,因为它们不会切开筋膜本身。因此,一些作者建议,如果使用这种无刀片腹腔镜套管针,可能无需缝合腹壁筋膜。我们报告一例患者,在腹腔镜肾切除术后11天,在一个12毫米无刀片套管针穿刺部位诊断出穿刺孔疝。