Ann Ital Chir. 2021 Sep 20;92:S2239253X2103629X.
In the laparoscopic era, the use of the stapler is a common practice and it adds to the possible causes of post-operative bowel adhesions with obstruction. In this study, we reviewed the Literature in order to study the pathogenesis and the incidence of bowel obstruction after using the laparoscopic stapler. Furthermore, we report a case of a woman who went to our observation for incoming bowel obstruction after laparoscopic ileal resection. In the emergency setting, the laparoscopic exploration revealed that a staple created adherence between an intestinal loop and its mesentery with consequent internal hernia and volvulus. The patient was treated by laparoscopy with removal of the offending staple and resection of the intestinal necrotic segment. Tips and tricks of the surgical technique for avoiding such rare but threatful complication, are discussed. KEY WORDS: Internal hernia, Mechanical bowel obstruction, Laparoscopic stapler, Volvulus.
在腹腔镜时代，吻合器的使用较为常见，这增加了术后发生肠粘连并导致梗阻的可能性。在本研究中，我们查阅了文献，以研究使用腹腔镜吻合器后发生肠梗阻的发病机制和发生率。此外，我们报告了 1 例女性患者，她因腹腔镜回肠切除术后出现肠梗阻来我院就诊。在急诊中，腹腔镜探查显示吻合器导致肠袢与其肠系膜之间发生粘连，继而发生内疝和扭转。患者通过腹腔镜手术，切除了有问题的吻合钉，并切除了肠坏死段。我们讨论了避免这种罕见但威胁性并发症的手术技术要点和技巧。
内疝；机械性肠梗阻；腹腔镜吻合器；扭转。
