我们在逃避现实吗？预防腹腔镜下腹直肌固定术中V-loc®缝线导致的小肠梗阻。
Are we burying our heads in the sand? Preventing small bowel obstruction from the V-loc® suture in laparoscopic ventral rectopexy.
作者信息
Sakata S, Kabir S, Petersen D, Doudle M, Stevenson A R L
机构信息
School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
出版信息
Colorectal Dis. 2015 Sep;17(9):O180-3. doi: 10.1111/codi.13057.
AIM
There have been increasing reports in the literature highlighting the complication of V-loc® associated small bowel obstruction in patients after laparoscopic ventral rectopexy.
METHODS AND RESULTS
Using clinical and experimental evidence, we demonstrate that bowel obstruction from the V-loc® following laparoscopic ventral rectopexy will still occur despite the technical recommendations to bury or cut its barbed end flush.
CONCLUSION
The risk of bowel obstruction from the V-loc® following laparoscopic ventral rectopexy is not negated by burying or cutting its barbed end flush. We have proposed its pathogenesis to refute commonly held assumptions about its prevention.
目的
文献中越来越多的报道强调了腹腔镜腹直肌固定术后患者发生V-loc®相关小肠梗阻的并发症。
方法与结果
利用临床和实验证据，我们证明，尽管有将V-loc®带刺端埋入或齐平切断的技术建议，但腹腔镜腹直肌固定术后V-loc®仍会导致肠梗阻。
结论
腹腔镜腹直肌固定术后V-loc®导致肠梗阻的风险不会因将其带刺端埋入或齐平切断而消除。我们提出了其发病机制，以反驳关于其预防的普遍假设。
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