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脐部穿刺继发的肠道损伤

Intestinal injury secondary to an umbilical piercing.

作者信息

Park Mi Hee, Mehran Amir

机构信息

Section for Minimally Invasive and Bariatric Surgery, Department of Surgery, University of California, Los Angeles, USA.

出版信息

JSLS. 2012 Jul-Sep;16(3):485-7. doi: 10.4293/108680812X13462882736051.

DOI:10.4293/108680812X13462882736051
PMID:23318080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3535809/
Abstract

BACKGROUND

Body piercing has become increasingly popular throughout the world and may cause unanticipated complications during surgery.

METHODS

We describe the case of a 35-y-old woman with hepatocellular carcinoma who underwent a diagnostic laparoscopy for metastatic disease evaluation.

RESULTS

An early intestinal injury occurred upon abdominal entry and introduction of pneumoperitoneum. The injury was secondary to a single adhesion between the abdominal wall and small bowel caused by a previous umbilical piercing.

CONCLUSIONS

Umbilical piercing can lead to unanticipated intraoperative complications even if it is removed prior to surgery. Surgeons performing laparoscopy should be aware of potential pitfalls associated with these art forms.

摘要

背景

身体穿刺在全球范围内越来越流行,并且在手术过程中可能会引发意想不到的并发症。

方法

我们描述了一名35岁肝细胞癌女性患者的病例,该患者接受了诊断性腹腔镜检查以评估转移性疾病。

结果

在腹部穿刺建立气腹时发生了早期肠损伤。该损伤继发于先前脐部穿刺导致的腹壁与小肠之间的单一粘连。

结论

即使在手术前移除脐部穿刺,脐部穿刺仍可能导致意想不到的术中并发症。进行腹腔镜检查的外科医生应意识到与这些行为相关的潜在风险。

相似文献

1
Intestinal injury secondary to an umbilical piercing.脐部穿刺继发的肠道损伤
JSLS. 2012 Jul-Sep;16(3):485-7. doi: 10.4293/108680812X13462882736051.
2
Adhesions caused by umbilical piercing.
J Am Assoc Gynecol Laparosc. 2003 May;10(2):281. doi: 10.1016/s1074-3804(05)60312-x.
3
Effect of small bowel perforation during laparoscopy on end-tidal carbon dioxide: observation in a small animal model.腹腔镜检查期间小肠穿孔对呼气末二氧化碳的影响:小动物模型观察
J Surg Res. 2007 Dec;143(2):368-71. doi: 10.1016/j.jss.2007.02.016. Epub 2007 Jun 11.
4
[The advantage of an umbilical micro-laparotomy, "open laparoscopy", for laparoscopic surgery. Experimental study].[脐部微小剖腹术(“开放式腹腔镜检查”)在腹腔镜手术中的优势。实验研究]
J Gynecol Obstet Biol Reprod (Paris). 1996;25(4):373-7.
5
Body piercing affecting laparoscopy: perioperative precautions.影响腹腔镜检查的身体穿刺:围手术期预防措施
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Extra-umbilical incisional hernias after operative laparoscopy: prevention and management.腹腔镜手术后脐外切口疝:预防与处理
Int J Gynaecol Obstet. 1994 May;45(2):161-2. doi: 10.1016/0020-7292(94)90126-0.
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Therapeutic laparoscopy for abdominal trauma.腹部创伤的治疗性腹腔镜检查
Surg Endosc. 2003 Mar;17(3):421-7. doi: 10.1007/s00464-002-8808-8. Epub 2002 Dec 4.
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Extraumbilical insertion of the operative laparoscope in patients with extensive intraabdominal adhesions.在广泛腹腔粘连患者中经脐外插入手术腹腔镜。
J Am Assoc Gynecol Laparosc. 1995 May;2(3):335-7. doi: 10.1016/s1074-3804(05)80119-7.
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[A case of spontaneous pneumoperitoneum associated with idiopathic intestinal pseudoobstruction].
Korean J Gastroenterol. 2009 Dec;54(6):395-8. doi: 10.4166/kjg.2009.54.6.395.
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Single-incision laparoscopic surgery for small bowel resection with an intraumbilical arcuate incision in children.小儿经脐弧形切口单孔腹腔镜小肠切除术
Asian J Endosc Surg. 2012 Nov;5(4):172-5. doi: 10.1111/j.1758-5910.2012.00150.x.

本文引用的文献

1
Laparoscopic entry: a review of techniques, technologies, and complications.腹腔镜入路:技术、科技与并发症综述
J Obstet Gynaecol Can. 2007 May;29(5):433-447. doi: 10.1016/S1701-2163(16)35496-2.
2
Navel piercing as a cause for Streptococcus viridans endocarditis: case report, review of the literature and implications for antibiotic prophylaxis.脐部穿刺作为草绿色链球菌心内膜炎的病因:病例报告、文献综述及对抗生素预防的启示
Cardiology. 2007;108(3):159-60. doi: 10.1159/000096587. Epub 2006 Oct 30.
3
Tattoos and body piercings in the United States: a national data set.美国的纹身与身体穿刺:一个全国性数据集。
J Am Acad Dermatol. 2006 Sep;55(3):413-21. doi: 10.1016/j.jaad.2006.03.026. Epub 2006 Jun 16.
4
Complications of body piercing.身体穿刺的并发症。
Am Fam Physician. 2005 Nov 15;72(10):2029-34.
5
Complete evidence regarding major vascular injuries during laparoscopic access.关于腹腔镜手术入路期间主要血管损伤的完整证据。
Surg Laparosc Endosc Percutan Tech. 2005 Jun;15(3):119-23. doi: 10.1097/01.sle.0000166967.49274.ca.
6
Body piercing affecting laparoscopy: perioperative precautions.影响腹腔镜检查的身体穿刺:围手术期预防措施
J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):537-41. doi: 10.1016/s1074-3804(05)60089-8.
7
Bowel injury as a complication of laparoscopy.作为腹腔镜检查并发症的肠损伤。
Br J Surg. 2004 Oct;91(10):1253-8. doi: 10.1002/bjs.4716.
8
Body piercing: a patient safety issue.
J Perianesth Nurs. 2004 Feb;19(1):4-10. doi: 10.1016/j.jopan.2003.11.002.
9
Adhesions caused by umbilical piercing.
J Am Assoc Gynecol Laparosc. 2003 May;10(2):281. doi: 10.1016/s1074-3804(05)60312-x.
10
Body piercing: medical consequences and psychological motivations.身体穿孔:医学后果与心理动机
Lancet. 2003 Apr 5;361(9364):1205-15. doi: 10.1016/S0140-6736(03)12955-8.