经腹腹膜前疝入路倒钩缝合致小肠闭塞1例并文献复习。

IF 0.4 Q4 SURGERY

Giornale di Chirurgia Pub Date : 2019-07-01

A Sartori, Marco De Luca, N Clemente, Alberto De Luca, G Scaffidi, G Piatto, G Noaro, C Campagnaro

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引用次数: 0

摘要

背景:腹股沟疝成形术是世界范围内最常用的成人疝修补术。前路疝成形术后小肠闭塞是一种罕见的并发症，因为在此过程中腹膜没有打开。然而，在TAPP期间，腹膜瓣的关闭是强制性的。在文献中，一些小肠闭塞的情况下，有关缝合缝合腹膜的倒刺报道。方法:我们报告一例64岁男性患者，经TAPP手术后，因腹膜缝合采用倒刺缝合线所致的小肠梗阻。结果:腹腔内使用自锚定缝线是有争议的。一些研究报告了使用该装置的良好效果，而其他妇科医生则描述了由倒钩缝合引起的肠阻塞和肠扭转。结论:自锚装置具有创新性，缩短了手术时间。最重要的是要知道正确使用这个设备，以减少一些可能的麻烦。

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本刊更多论文

Small bowel occlusion after trans-abdominal preperitoneal hernia approach caused by barbed suture: case report and review of literature.

Background: Groin hernioplasty is the most performed intervention in the adults worldwide. Small bowel occlusion after hernioplasty with anterior approach is an unusual complication because the peritoneum is not opened during this procedure. However during TAPP the closure of the peritoneal flap is mandatory. In literature some cases of small bowel occlusion related to the barbed suture for the closure the peritoneum are reported.

Methods: Here we describe a case of a 64-year old male with small bowel obstruction after TAPP caused by the barbed suture used for peritoneal closure.

Results: Intrabdominal use of self-anchoring suture is controversial. Some studies reported good results by using this device, while others from gynecologists describe bowel occlusion and volvulus caused by barbed suture.

Conclusions: Self-anchoring device is innovative and reduces operation time. It is most important to know the correct use of this device to reduce some possible troubles.

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来源期刊

Giornale di Chirurgia SURGERY-

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.