Suppr超能文献

腹腔镜子宫肌瘤切除术后小肠切口疝:一例报告

Port Site Herniation of the Small Bowel following Laparoscopic-Myomectomy: A case report.

作者信息

Elshafie Ghazi A, Al-Wahaibi Khalifa, Al-Azri Ahmed, Al-Qadhi Hani, Al-Harthi Abdullah

机构信息

Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.

出版信息

Sultan Qaboos Univ Med J. 2010 Apr;10(1):106-13. Epub 2010 Apr 17.

Abstract

Bowel herniation, through fascial defects secondary to laparoscopic surgery at the site of trocar entry, is a rare, but potentially serious, complication. Closure of the fascia at port sites measuring 10mm or more has been highly recommended to avoid such complications. We report a case of a small bowel which herniated and strangulated through the port site immediately after laparoscopic myomectomy. Resection of the strangulated bowel with primary anastomosis was required to manage this complication. We present this case report with literature review to discuss the risk factors and the methods to prevent such a complication post laparoscopic surgery.

摘要

肠疝通过套管针穿刺部位继发于腹腔镜手术的筋膜缺损形成,是一种罕见但可能严重的并发症。强烈建议关闭直径10毫米或更大的穿刺孔筋膜以避免此类并发症。我们报告一例腹腔镜子宫肌瘤切除术后小肠立即通过穿刺孔疝出并发生绞窄的病例。需要切除绞窄的肠段并进行一期吻合来处理这一并发症。我们通过文献回顾呈现此病例报告,以讨论腹腔镜手术后此类并发症的危险因素及预防方法。

相似文献

1
Port Site Herniation of the Small Bowel following Laparoscopic-Myomectomy: A case report.
Sultan Qaboos Univ Med J. 2010 Apr;10(1):106-13. Epub 2010 Apr 17.
3
5-millimeter trocar-site bowel herniation following laparoscopic surgery.
JSLS. 2012 Apr-Jun;16(2):306-10. doi: 10.4293/108680812x13427982376987.
4
Bowel Herniation Through 5mm Port Site: An Unusual Complication.
J Clin Diagn Res. 2016 Apr;10(4):PD23-4. doi: 10.7860/JCDR/2016/18700.7661. Epub 2016 Apr 1.
5
Trocar-site Herniation after Laparoscopic Myomectomy via Culdotomy Extraction.
Gynecol Minim Invasive Ther. 2024 Jul 18;13(3):189-191. doi: 10.4103/gmit.gmit_157_23. eCollection 2024 Jul-Sep.
6
Case report of an uncommon case of drain-site hernia after colorectal surgery.
Int J Surg Case Rep. 2018;53:500-503. doi: 10.1016/j.ijscr.2017.12.041. Epub 2018 Jan 9.
7
Preperitoneal herniation into a laparoscopic port site without a fascial defect.
Obes Surg. 2002 Feb;12(1):121-3. doi: 10.1381/096089202321144702.
8
A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy.
AJOG Glob Rep. 2024 Jun 20;4(3):100368. doi: 10.1016/j.xagr.2024.100368. eCollection 2024 Aug.
9
Laparoscopic port site Richter's hernia - An important lesson learnt.
Int J Surg Case Rep. 2011;2(1):9-11. doi: 10.1016/j.ijscr.2010.11.002. Epub 2010 Nov 23.

本文引用的文献

2
Port closure techniques.
Surg Endosc. 2007 Aug;21(8):1264-74. doi: 10.1007/s00464-006-9095-6. Epub 2007 Feb 7.
3
VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients.
Surg Endosc. 2006 Oct;20(10):1584-6. doi: 10.1007/s00464-005-0747-8. Epub 2006 Aug 10.
4
Prevention of trocar-wound hernia in laparoscopic bariatric operations.
Obes Surg. 2006 Jul;16(7):913-8. doi: 10.1381/096089206777822269.
5
Trocar site hernia.
Arch Surg. 2004 Nov;139(11):1248-56. doi: 10.1001/archsurg.139.11.1248.
6
Richter's hernia in the laparoscopic era: four case reports and review of the literature.
Surg Laparosc Endosc Percutan Tech. 2003 Feb;13(1):55-8. doi: 10.1097/00129689-200302000-00014.
7
[Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery].
Chirurg. 2002 Sep;73(9):899-904. doi: 10.1007/s00104-002-0525-2.
8
[Incisional hernias after operative laparoscopy].
Rev Med Chir Soc Med Nat Iasi. 2000 Oct-Dec;104(4):83-6.
9
A randomized prospective study of radially expanding trocars in laparoscopic surgery.
J Gastrointest Surg. 2000 Jul-Aug;4(4):392-7. doi: 10.1016/s1091-255x(00)80018-9.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验