Kojima Yutaka, Sakamoto Kazuhiro, Okuzawa Atsushi
Department of Coloproctological Surgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.
J Surg Case Rep. 2019 Mar 29;2019(3):rjz085. doi: 10.1093/jscr/rjz085. eCollection 2019 Mar.
Laparoscopic surgery has spread worldwide and become a standard procedure among many abdominal surgical fields. The incidence of postoperative adhesion, which is a typical postoperative complication, is considered low compared with that after laparotomy. However, once complications develop, such as adhesion-induced intestinal obstruction and chronic abdominal pain, the low-invasiveness of laparoscopic surgery can decrease markedly. While we have previously used a sheet-type anti-adhesion barrier, it requires a specific technique in many cases when it is applied in the abdominal cavity. In this study, we used a spray-type anti-adhesion barrier, which is considered simple to apply, as an adhesion-preventing absorbable barrier following laparoscopic surgery.
腹腔镜手术已在全球范围内广泛开展，并成为许多腹部外科领域的标准手术方式。术后粘连是一种典型的术后并发症，与开腹手术后相比，其发生率被认为较低。然而，一旦出现诸如粘连性肠梗阻和慢性腹痛等并发症，腹腔镜手术的微创性会显著降低。虽然我们之前使用过片状抗粘连屏障，但在腹腔应用时，很多情况下都需要特定技术。在本研究中，我们使用了一种喷雾型抗粘连屏障，它被认为应用简单，作为腹腔镜手术后预防粘连的可吸收屏障。
