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腹腔镜下经腹腹膜前补片修补术治疗腹直肌切口疝后，松散的腹腔内螺旋钉导致小肠梗阻：一例报告

Loose Intraperitoneal Spiral Tack Causing Small Bowel Obstruction Following Laparoscopic Intraperitoneal Onlay Mesh Repair of Ventral Incisional Hernia: A Case Report.

作者信息

Mistry Ajay N, Solkar Mamoon, Abdel-Halim Mostafa

机构信息

General Surgery, Tameside General Hospital, Ashton-Under-Lyne, GBR.

出版信息

Cureus. 2024 Jul 12;16(7):e64424. doi: 10.7759/cureus.64424. eCollection 2024 Jul.

DOI:10.7759/cureus.64424
PMID:39131001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11317104/
Abstract

This case report discusses a rare complication of small bowel obstruction occurring in the early course following Intraperitoneal Onlay Mesh (IPOM) repair for an incisional hernia. The bowel obstruction, which failed to respond to conservative measures, was caused by band adhesions resulting from the presence of a loose intraperitoneal migrated surgical tack. This was successfully managed laparoscopically resulting in complete recovery. We present the clinical and radiological findings and review the relevant literature in this area.

摘要

本病例报告讨论了一例罕见的小肠梗阻并发症，该并发症发生在腹膜内补片修补术（IPOM）修复切口疝后的早期病程中。该肠梗阻对保守治疗无效，是由腹腔内一枚松动移位的手术钉形成的束带粘连所致。通过腹腔镜手术成功处理，患者完全康复。我们展示了临床和影像学检查结果，并回顾了该领域的相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/78be1c4b83b9/cureus-0016-00000064424-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/92eea99389cb/cureus-0016-00000064424-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/668017e02eac/cureus-0016-00000064424-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/2af4ef00a80c/cureus-0016-00000064424-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/78be1c4b83b9/cureus-0016-00000064424-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/92eea99389cb/cureus-0016-00000064424-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/668017e02eac/cureus-0016-00000064424-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/2af4ef00a80c/cureus-0016-00000064424-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11317104/78be1c4b83b9/cureus-0016-00000064424-i04.jpg

相似文献

1
Loose Intraperitoneal Spiral Tack Causing Small Bowel Obstruction Following Laparoscopic Intraperitoneal Onlay Mesh Repair of Ventral Incisional Hernia: A Case Report.腹腔镜下经腹腹膜前补片修补术治疗腹直肌切口疝后，松散的腹腔内螺旋钉导致小肠梗阻：一例报告
Cureus. 2024 Jul 12;16(7):e64424. doi: 10.7759/cureus.64424. eCollection 2024 Jul.
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Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?对于腹腔镜修补大型切口疝，采用腹腔内置入补片并封闭筋膜缺损的方法是否优于标准的腹腔内置入补片法？
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Robotic-assisted ventral and incisional hernia repair with hernia defect closure and intraperitoneal onlay mesh (IPOM) experience.机器人辅助腹侧和切口疝修补术，包括疝缺损闭合和腹膜内补片植入（IPOM）经验。
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本文引用的文献

1
Mesh migration following abdominal hernia repair: A case report, and literature review.腹部疝修补术后的补片移位：一例病例报告及文献综述。
Caspian J Intern Med. 2022 Fall;13(4):815-817. doi: 10.22088/cjim.13.4.815.
2
Complications of Intraperitoneal Mesh Techniques for Incisional Hernia - A Systematic Review.腹腔内补片技术治疗切口疝的并发症：系统评价。
Chirurgia (Bucur). 2021 Dec;116(6 Suppl):S36-S42.
3
The Comparison of eTEP and IPOM in Ventral and Incisional Hernia Repair: A Systematic Review and Meta-analysis.eTEP 与 IPOM 在腹疝和切口疝修补中的比较：系统评价和荟萃分析。
Surg Laparosc Endosc Percutan Tech. 2022 Jan 17;32(2):252-258. doi: 10.1097/SLE.0000000000001035.
4
Robotic-Assisted Transabdominal Preperitoneal Ventral Hernia Repair.机器人辅助经腹腹膜前腹疝修补术
Surg Technol Int. 2020 May 28;36:95-97.
5
Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society.欧洲疝学会和美洲疝学会关于脐疝和腹疝治疗的指南。
Br J Surg. 2020 Feb;107(3):171-190. doi: 10.1002/bjs.11489. Epub 2020 Jan 9.
6
Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A.腹腔镜治疗腹前壁和切口疝指南更新（国际腹内疝学会（IEHS））-A 部分。
Surg Endosc. 2019 Oct;33(10):3069-3139. doi: 10.1007/s00464-019-06907-7. Epub 2019 Jun 27.
7
Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair.内镜（经脐单孔腹腔镜入路）机器人辅助肌后腹壁疝修补术的早期手术结果
Hernia. 2018 Oct;22(5):837-847. doi: 10.1007/s10029-018-1795-z. Epub 2018 Jul 4.
8
Absorbable versus non-absorbable tacks for mesh fixation in laparoscopic ventral hernia repair: A systematic review and meta-analysis.可吸收与不可吸收缝线在腹腔镜腹疝修补术中固定补片的比较：系统评价和荟萃分析。
Int J Surg. 2018 May;53:184-192. doi: 10.1016/j.ijsu.2018.03.042. Epub 2018 Mar 22.
9
International guidelines for groin hernia management.腹股沟疝治疗的国际指南。
Hernia. 2018 Feb;22(1):1-165. doi: 10.1007/s10029-017-1668-x. Epub 2018 Jan 12.
10
Open retromuscular mesh repair of complex incisional hernia: predictors of wound events and recurrence.复杂切口疝的开放式肌后补片修补术：伤口事件和复发的预测因素
J Am Coll Surg. 2015 Apr;220(4):606-13. doi: 10.1016/j.jamcollsurg.2014.12.055. Epub 2015 Jan 28.