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五毫米球囊穿刺部位疝:两例报告及文献复习。

Five-millimeter balloon trocar site herniation: report of two cases and review of literature.

机构信息

Department of Obstetrics and Gynecology, Mount Sinai Hospital, New York, New York.

出版信息

J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):723-6. doi: 10.1016/j.jmig.2013.04.012. Epub 2013 May 25.

DOI:10.1016/j.jmig.2013.04.012
PMID:23714747
Abstract

Trocar site herniation is a well-known potential complication of minimally invasive surgery. We present the cases of two herniations after use of 5-mm non-bladed balloon trocars. In both patients, surgical management was required, with no subsequent sequelae to date. The hernias were attributed to excessive fascial stretching and compression by the balloon. We recommend full-thickness closure of 5-mm ports if a balloon is used or if there was extensive intraoperative manipulation.

摘要

套管部位疝是微创外科中一种众所周知的潜在并发症。我们报告两例使用 5mm 无刃球囊套管后发生的疝。两例患者均需要手术治疗,目前尚无后续后遗症。疝的发生归因于球囊对筋膜的过度拉伸和压迫。如果使用球囊或术中进行了广泛的操作,我们建议对 5mm 套管进行全层缝合。

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1
Five-millimeter balloon trocar site herniation: report of two cases and review of literature.五毫米球囊穿刺部位疝:两例报告及文献复习。
J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):723-6. doi: 10.1016/j.jmig.2013.04.012. Epub 2013 May 25.
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[Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery].[套管穿刺部位疝。腹腔镜手术一种罕见但可能危险的并发症]
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VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients.肥胖症患者未封闭筋膜缺损处的VersaStep套管针疝发生率。
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Port-site hernias occurring after the use of bladeless radially expanding trocars.使用无刃径向扩张套管针后发生的切口疝。
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[Trocar hernia: causes, treatment, methods of prevention].[套管针疝:病因、治疗、预防方法]
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[Trocar site herniation (TSH) following laparoscopic cholecystectomy: incidence, pathogenesis, and prevention -- animal study].[腹腔镜胆囊切除术后套管针穿刺部位疝(TSH):发病率、发病机制及预防——动物研究]
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引用本文的文献

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The balloon technique for trocar-site closure: Description of a novel technique along with a literature review.套管针穿刺部位闭合的球囊技术:一种新技术的描述及文献综述。
J Int Med Res. 2025 Aug;53(8):3000605251365801. doi: 10.1177/03000605251365801. Epub 2025 Aug 20.
2
A case report and review of the literature of 7-millimeter lateral port-site herniation following total laparoscopic hysterectomy.全腹腔镜子宫切除术后7毫米侧方切口疝的病例报告及文献综述
AJOG Glob Rep. 2024 Jun 20;4(3):100368. doi: 10.1016/j.xagr.2024.100368. eCollection 2024 Aug.
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Trocar-site hernia after gynecological laparoscopic surgery: a 20-year, single-center experience.
妇科腹腔镜手术后的trocar 部位疝:20 年单中心经验。
Chin Med J (Engl). 2019 Nov 20;132(22):2677-2683. doi: 10.1097/CM9.0000000000000510.
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Transvaginal specimen removal in minimally invasive surgery.微创手术中的经阴道标本取出术。
World J Urol. 2016 Jun;34(6):779-87. doi: 10.1007/s00345-016-1770-1. Epub 2016 Jan 30.