Sumi Yasuo, Yamashita Kimihiro, Kanemitsu Kiyonori, Yamamoto Masashi, Kanaji Shingo, Imanishi Tatsuya, Nakamura Tetsu, Suzuki Satoshi, Tanaka Kenichi, Kakeji Yoshihiro
Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 6500017 Japan.
Indian J Surg. 2015 Dec;77(Suppl 3):1462-5. doi: 10.1007/s12262-015-1220-0. Epub 2015 Jan 18.
Laparoscopic surgery is a minimally invasive surgery, and the incidence of postoperative small bowel obstruction (SBO) is not high. However, SBO is a disease that detracts from the benefits of laparoscopic surgery due to the need for additional therapies or prolongation of hospital stay. Seprafilm is effective in reducing adhesions and preventing the occurrence of SBO. However, it is very difficult to place the Seprafilm during laparoscopic surgery compared to open surgery. Herein, we report a simple and easy method. The Seprafilm including the holder paper is divided into six pieces; each piece is wound around the end of the forceps and the reduction sleeve is slid over it. The forceps with the reduction sleeve is inserted through a 12-mm trocar and moved closer to the target place. Then, the reduction sleeve is slid down the forceps to expose the Seprafilm. This method does not require any special preparation or training. Based on our experience, this method can easily overcome the problems that the Seprafilm is vulnerable to tear and is difficult to spread out in the abdominal cavity.
腹腔镜手术是一种微创手术，术后小肠梗阻（SBO）的发生率不高。然而，SBO是一种会因需要额外治疗或延长住院时间而降低腹腔镜手术益处的疾病。防粘连屏障膜在减少粘连和预防SBO发生方面是有效的。然而，与开放手术相比，在腹腔镜手术期间放置防粘连屏障膜非常困难。在此，我们报告一种简单易行的方法。将带有支撑纸的防粘连屏障膜分成六片；每片缠绕在镊子末端，复位套管套在上面。带有复位套管的镊子通过12毫米的套管针插入并移向目标位置。然后，将复位套管沿镊子向下滑动以露出防粘连屏障膜。这种方法不需要任何特殊准备或培训。根据我们的经验，这种方法可以轻松克服防粘连屏障膜易撕裂且难以在腹腔内展开的问题。
