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经引流部位的绞窄性肠疝

Strangulated intestinal hernia through a drain site.

作者信息

Falidas Evangelos, Mathioulakis Stavros, Vlachos Konstantinos, Pavlakis Emmanouil, Villias Constantinos

机构信息

1st Department of General Surgery, 417 NIMTS, Veterans Administration Hospital of Athens, 10-12 Monis Petraki St, Athens 11521, Greece.

出版信息

Int J Surg Case Rep. 2012;3(1):1-2. doi: 10.1016/j.ijscr.2011.06.002. Epub 2011 Jun 17.

DOI:10.1016/j.ijscr.2011.06.002
PMID:22288027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3267249/
Abstract

INTRODUCTION

Intra-abdominal drains have been widely used in order to prevent intra-abdominal fluid accumulation and detection of anastomotic leakage.

PRESENTATION OF CASE

We herein report a case of small bowel herniation followed by strangulation in an 82 year old woman who had undergone sigmoidectomy for colorectal cancer.

DISCUSSION

Although several complications related to drain usage such as drainsite infection, hemorrhage and intestinal perforation may occur, intestinal incarceration through drain site is rarely reported.

CONCLUSION

Drains must be used with caution and only if indicated. Careful insertion, regular post-operative or post-removal inspection is strongly recommended.

摘要

引言

腹腔引流管已被广泛用于预防腹腔内液体蓄积和检测吻合口漏。

病例介绍

我们在此报告一例82岁女性患者,她因结肠癌接受了乙状结肠切除术后发生小肠疝并绞窄。

讨论

尽管使用引流管可能会出现一些并发症,如引流部位感染、出血和肠穿孔,但通过引流部位发生肠嵌顿的情况很少报道。

结论

必须谨慎使用引流管,且仅在有指征时使用。强烈建议仔细插入,术后或拔除后定期检查。

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本文引用的文献

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Pelvic drainage for anterior resection revisited: use of drains in anastomotic leaks.前路切除术的盆腔引流再探讨:引流管在吻合口漏中的应用
ANZ J Surg. 2008 Jun;78(6):461-5. doi: 10.1111/j.1445-2197.2008.04535.x.
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Routine abdominal drainage for uncomplicated laparoscopic cholecystectomy.单纯性腹腔镜胆囊切除术后的常规腹腔引流
Cochrane Database Syst Rev. 2007 Oct 17(4):CD006004. doi: 10.1002/14651858.CD006004.pub3.
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Is prophylactic placement of drains necessary after subtotal gastrectomy?胃大部切除术后预防性放置引流管有必要吗?
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Randomised trial of drains versus no drains following radical hysterectomy and pelvic lymph node dissection: a European Organisation for Research and Treatment of Cancer-Gynaecological Cancer Group (EORTC-GCG) study in 234 patients.根治性子宫切除术和盆腔淋巴结清扫术后引流与不引流的随机试验:欧洲癌症研究与治疗组织-妇科癌症小组(EORTC-GCG)对234例患者的研究
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Incarcerated small bowel hernia through drain site.经引流部位的嵌顿性小肠疝
Ann R Coll Surg Engl. 2004 Nov;86(6):W24-5. doi: 10.1308/147870804902.
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Abdominal drainage after hepatic resection is contraindicated in patients with chronic liver diseases.肝切除术后腹腔引流对于慢性肝病患者是禁忌的。
Ann Surg. 2004 Feb;239(2):194-201. doi: 10.1097/01.sla.0000109153.71725.8c.
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Drain-site herniation of the appendix.
Br J Surg. 1995 Dec;82(12):1628. doi: 10.1002/bjs.1800821212.
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Evisceration and other complications of abdominal drains.腹腔引流管的脏器脱出及其他并发症。
Postgrad Med J. 1991 Jul;67(789):687-8. doi: 10.1136/pgmj.67.789.687.
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The biology and practice of surgical drains. Part II.
Curr Probl Surg. 1992 Sep;29(9):633-730. doi: 10.1016/0011-3840(92)90028-2.