Elshafie Ghazi A, Al-Wahaibi Khalifa, Al-Azri Ahmed, Al-Qadhi Hani, Al-Harthi Abdullah
Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2010 Apr;10(1):106-13. Epub 2010 Apr 17.
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.
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。