Buchs Nicolas C, Ostermann Sandrine, Hauser Johannes, Roche Bruno, Iselin Christophe E, Morel Philippe
Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva , Switzerland.
Minim Invasive Ther Allied Technol. 2012 Sep;21(5):369-71. doi: 10.3109/13645706.2011.638643. Epub 2011 Dec 7.
Small bowel obstruction is a common pathology. Among the various etiologies, foreign material has been incriminated as a possible but uncommon cause. Recently, barbed suture has been successfully introduced in various surgical fields and has been reported as safe as standard suture. We report herein a case of intestinal obstruction due to the laparoscopic use of barbed suture during a promontofixation. Barbed suture has the risk of entrapping the small bowel. The surgeon should keep in mind this hypothetical problem and a high index of suspicion is needed to diagnose and treat quickly this potentially severe complication.
小肠梗阻是一种常见的病理情况。在各种病因中，异物被认为是一种可能但不常见的病因。最近，倒刺缝线已成功应用于各种外科领域，并且据报道与标准缝线一样安全。我们在此报告一例在子宫直肠陷凹固定术中因腹腔镜使用倒刺缝线而导致肠梗阻的病例。倒刺缝线有夹住小肠的风险。外科医生应牢记这一潜在问题，并且需要高度怀疑以快速诊断和治疗这种潜在的严重并发症。
