用于困难肥胖病例穿刺部位闭合的经皮经腹带双孔套管鞘的外环线针。
Percutaneous trans-abdominal external looped needle with two holes in the trocar sheath for port-site closures in difficult obese cases.
作者信息
Lasheen Ahmed E, Salem Ayman, Abd Elaal Salah, Elsheweal Abd Elhafez, Osman Gamal, Alkilany Mohammed, Ibrahim Amr
机构信息
General and Laparoscopic Surgery Department, Zagazig University Hospital, Zagazig University, Zagazig, Egypt.
出版信息
Asian J Endosc Surg. 2016 Nov;9(4):295-299. doi: 10.1111/ases.12302. Epub 2016 Jul 25.
INTRODUCTION
Port closure is essential after successful laparoscopic surgery to prevent incisional hernia. However, good fascial closure still represents a problem, especially in obese patients and when the port wound is oblique. We report a novel technique for port-site closures in such cases.
METHODS
This study involved 67 obese patients who underwent laparoscopic surgery. We used a novel technique for port-site closure that employed a looped needle passed through two holes in the port sheath.
RESULTS
The method was used in 67 patients (45 laparoscopic cholecystectomies, 22 laparoscopic hernia repairs), with a mean BMI of 35.7 kg/m . No intraoperative incidents or port-site hernias were reported during follow-up (mean, 22 months).
CONCLUSION
Our procedure is safe, easy, and effective for fascial port site closures, especially in cases of difficult obese patients and oblique port wounds.
引言
成功的腹腔镜手术后进行切口关闭对于预防切口疝至关重要。然而，良好的筋膜关闭仍然是一个问题，尤其是在肥胖患者以及切口为斜行时。我们报告了一种在此类情况下进行切口部位关闭的新技术。
方法
本研究纳入了67例行腹腔镜手术的肥胖患者。我们采用了一种用于切口部位关闭的新技术，该技术使用一根环形针穿过切口鞘上的两个孔。
结果
该方法应用于67例患者（45例腹腔镜胆囊切除术，22例腹腔镜疝修补术），平均体重指数为35.7kg/m²。随访期间（平均22个月）未报告术中事件或切口部位疝。
结论
我们的手术方法对于筋膜切口部位关闭是安全、简便且有效的，尤其是在肥胖患者困难以及切口为斜行的情况下。
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