Magee-Womens Hospital, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
J Minim Invasive Gynecol. 2011 Jul-Aug;18(4):528-30. doi: 10.1016/j.jmig.2011.03.011.
Surgical trends favor the minimally invasive approach for gynecologic procedures. Technology, equipment, and surgical materials have evolved to simplify technically challenging skills and decrease operative times to permit successful completion of procedures via the laparoscopic approach. However, with the introduction of new advances, surgeons must also be aware of potential complications that may arise. A barbed suture is an attractive suture option that allows for easier and faster laparoscopic suturing by eliminating repeated knots and the need to maintain tension on the suture line. Here we present the case of a small bowel obstruction caused by barbed suture used for vaginal cuff closure at the time of total laparoscopic hysterectomy. Implementation of a new technology or surgical material in laparoscopy to improve care must be optimized to prevent untoward events in our patients.
外科手术趋势有利于采用微创方法进行妇科手术。技术、设备和外科材料不断发展，简化了技术上具有挑战性的技能，缩短了手术时间，从而能够通过腹腔镜方法成功完成手术。然而，随着新进展的引入，外科医生也必须意识到可能出现的潜在并发症。倒刺缝线是一种有吸引力的缝线选择，通过消除重复的结和对线的张力保持，使腹腔镜缝合更容易、更快。在这里，我们介绍了一例因在全腹腔镜子宫切除术中用于阴道残端关闭而使用倒刺缝线导致的小肠梗阻。为了改善护理，必须优化腹腔镜中新技术或外科材料的实施，以防止患者发生不良事件。
