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[经腹膜腹腔镜腹股沟疝修补术中钉合器在膀胱和肠道的移位情况]

[Bladder and bowel migration of staples used for inguinal hernia repair via transperitoneal laparoscopy].

作者信息

Sarkis Pierre, Sleilaty Fadi, Biajini Jean

出版信息

J Med Liban. 2014 Oct-Nov;62(4):235-7.

Abstract

Introduction of foreign bodies inside abdominal cavity may migrate to hollow organs like bladder and bowel. This can occur after various laparoscopic or open abdominal and pelvic surgeries in which synthetic materials are used. We report an exceptional case of bladder and ileal migration of tackers used to fix mesh during laparoscopic transperitonel inguinal hernia repair in a 65-year-old man who presented for recurrent fever, dysuria, frequency and suprapubic pain. A laparotomy was done showing that some tackers which served to repair the hernia had migrated into ileon and bladder. We performed limited resection of involved ileum and bladder with complete disappearance of symptoms.

摘要

腹腔内异物可能会迁移至膀胱和肠道等中空器官。这可能发生在各种使用合成材料的腹腔镜或开放性腹部及盆腔手术后。我们报告一例特殊病例,一名65岁男性在腹腔镜经腹膜腹股沟疝修补术中用于固定补片的吻合钉迁移至膀胱和回肠,该患者因反复发热、排尿困难、尿频和耻骨上疼痛前来就诊。剖腹探查显示,一些用于修补疝的吻合钉已迁移至回肠和膀胱。我们对受累的回肠和膀胱进行了有限切除,症状完全消失。

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