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倒刺V-Loc™缝线导致小肠扭转：腹腔镜腹直肌固定术后的罕见并发症

Development of Small Bowel Volvulus on Barbed V-Loc™ Suture: A Rare Complication after Laparoscopic Ventral Rectopexy.

作者信息

Terrosu Giovanni, Cherchi Vittorio, Baccarani Umberto, Adani Gian Luigi, Lorenzin Dario, Pravisani Riccardo, Bertozzi Serena, Calandra Sergio, Noce Luigino, Zuliani Antonia Lavinia, Risaliti Andrea

机构信息

Department of Medicine, University of Udine, P.le Kolbe, 33100 Udine, Italy.

出版信息

Case Rep Surg. 2018 Apr 24;2018:8406054. doi: 10.1155/2018/8406054. eCollection 2018.

DOI:10.1155/2018/8406054
PMID:29854545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5941768/
Abstract

In this case report, we share our experience with an emerging complication in laparoscopic surgery caused by the use of barbed sutures for an off-label indication. We describe a postoperative volvulus caused by the adhesion of the small bowel and V-Loc suture after a ventral laparoscopic rectopexy in a 48-year-old female patient. We also suggest cutting flush the end of the V-Loc and extending the follow-up of these patients.

摘要

在本病例报告中，我们分享了因使用倒刺缝线用于非标签适应证而导致的腹腔镜手术中一种新出现并发症的经验。我们描述了一名48岁女性患者在腹腔镜下腹直肌固定术后，小肠与V-Loc缝线粘连引起的术后肠扭转。我们还建议将V-Loc的末端剪平，并延长对这些患者的随访时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc1/5941768/174356dc7db8/CRIS2018-8406054.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc1/5941768/336ce0ec1f4a/CRIS2018-8406054.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc1/5941768/174356dc7db8/CRIS2018-8406054.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc1/5941768/336ce0ec1f4a/CRIS2018-8406054.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc1/5941768/174356dc7db8/CRIS2018-8406054.002.jpg

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本文引用的文献

1
Acute small bowel obstruction caused by barbed suture on the second day after laparoscopic hysterosacropexy: A case report and literature review.腹腔镜子宫骶骨固定术后第二天带倒刺缝线所致急性小肠梗阻：一例报告及文献复习
Taiwan J Obstet Gynecol. 2017 Apr;56(2):247-249. doi: 10.1016/j.tjog.2016.03.008.
2
Small bowel obstruction due to laparoscopic barbed sutures: an unknown complication?腹腔镜倒刺缝线导致的小肠梗阻：一种未知的并发症？
Rev Esp Enferm Dig. 2015 Nov;107(11):677-80. doi: 10.17235/reed.2015.3863/2015.
3
Small bowel obstruction from barbed suture following laparoscopic myomectomy-A case report.
腹腔镜子宫肌瘤切除术后带刺缝线导致的小肠梗阻——病例报告
Int J Surg Case Rep. 2015;16:146-9. doi: 10.1016/j.ijscr.2015.09.039. Epub 2015 Oct 9.
4
Are we burying our heads in the sand? Preventing small bowel obstruction from the V-loc® suture in laparoscopic ventral rectopexy.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。
Colorectal Dis. 2015 Sep;17(9):O180-3. doi: 10.1111/codi.13057.
5
Three cases of small bowel obstruction after laparoscopic ventral rectopexy using the V-Loc(®) suture.3例使用V-Loc（®）缝线行腹腔镜腹直肌固定术后发生小肠梗阻的病例。
Tech Coloproctol. 2014 Jun;18(6):601-2. doi: 10.1007/s10151-013-1074-z. Epub 2013 Oct 1.
6
Small bowel obstruction following laparoscopic ventral mesh rectopexy.腹腔镜下腹膜网片直肠固定术后的小肠梗阻
Colorectal Dis. 2013 Dec;15(12):1543-4. doi: 10.1111/codi.12402.
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Minim Invasive Ther Allied Technol. 2012 Sep;21(5):369-71. doi: 10.3109/13645706.2011.638643. Epub 2011 Dec 7.
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