腹腔镜阑尾切除术后11毫米非刀片式套管针穿刺部位发生嵌顿疝。
Incarcerated hernia in 11-mm nonbladed trocar site following laparoscopic appendectomy.
作者信息
Zemet Roni, Mazeh Haggi, Grinbaum Ronit, Abu-Wasel Bassam, Beglaibter Nahum
机构信息
Hadassah-Hebrew University Medical Center, Mount Scopus, Department of Surgery, Jerusalem, Israel.
出版信息
JSLS. 2012 Jan-Mar;16(1):178-81. doi: 10.4293/108680812X13291597716780.
BACKGROUND
Nonbladed trocars are considered less traumatic to the abdominal wall due to the lack of fascial incision. It has been suggested that closure of the abdominal fascia may be unnecessary when such nonbladed trocars are used.
CASE REPORT
We report on 2 patients who were diagnosed with trocar-site hernias 2 days after laparoscopic appendectomy performed using 11-mm nonbladed trocars.
CONCLUSION
Although rare, trocar-site hernias after laparoscopic surgery with nonbladed trocars remain a cause of postoperative morbidity and require prompt intervention. Therefore, this report underscores the significance of performing meticulous closure of all trocar sites that are 10mm.
背景
由于无需切开筋膜，非刀片式套管针被认为对腹壁的创伤较小。有人提出，使用此类非刀片式套管针时可能无需缝合腹部筋膜。
病例报告
我们报告了2例患者，他们在使用11毫米非刀片式套管针进行腹腔镜阑尾切除术后2天被诊断为套管针穿刺部位疝。
结论
尽管罕见，但使用非刀片式套管针进行腹腔镜手术后的套管针穿刺部位疝仍是术后发病的一个原因，需要及时干预。因此，本报告强调了对所有10毫米的套管针穿刺部位进行细致缝合的重要性。
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