Ortiz Michael V, Awad Ziad T
Department of Surgery, University of Florida College of Medicine Jacksonville, Jacksonville, FL 32209, USA.
Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):e181-3. doi: 10.1097/SLE.0b013e3181b9302d.
The use of antiadhesive sheets has greatly reduced the number of postoperative adhesions after abdominal surgery. A major problem is that these sheets are difficult to deliver into the peritoneal cavity because they are not malleable and easily stick when wet. This article describes a simple technique for administering Seprafilm sheets onto the abdominal viscera after laparoscopic surgery. The Seprafilm sheets are dissolved before the end of surgery in warm normal saline and the solution is placed into a Toumey catheter tip syringe. The syringe is then attached to a Robinson catheter, which is introduced into the abdomen via a laparoscopic trocar. Under direct laparoscopic visualization, the Seprafilm solution is squirted into the damaged peritoneal surfaces. Long-term studies are needed to assess whether our Seprafilm solution technique has the same efficacy as the use of whole sheets.
抗粘连片的使用已大大减少了腹部手术后的术后粘连数量。一个主要问题是，这些片子难以送入腹腔，因为它们缺乏柔韧性，遇湿后容易粘连。本文介绍了一种在腹腔镜手术后将Seprafilm片应用于腹腔脏器的简单技术。Seprafilm片在手术结束前于温热的生理盐水中溶解，然后将溶液注入Toumey导管尖端注射器。接着将注射器连接到Robinson导管上，通过腹腔镜套管针将其引入腹腔。在腹腔镜直视下，将Seprafilm溶液喷注到受损的腹膜表面。需要进行长期研究来评估我们的Seprafilm溶液技术是否与使用整片Seprafilm片具有相同的疗效。
