IATROGENIC LAPAROSCOPIC SPIGELIAN HERNIA - A POSSIBLE CAUSE AND PREVENTION

被引:3
作者
WILLIAMS, JP [1 ]
DEANS, GT [1 ]
BROUGH, WA [1 ]
机构
[1] STEPPING HILL HOSP,STOCKPORT UNIT MINIMALLY INVAS SURG,STOCKPORT SK2 7JE,ENGLAND
来源
MINIMALLY INVASIVE THERAPY | 1995年 / 4卷 / 02期
关键词
CANNULA SITE HERNIA; LAPAROSCOPY; COMPLICATIONS;
D O I
10.3109/13645709509152770
中图分类号
R61 [外科手术学];
学科分类号
摘要
Following laparoscopic hernia repair, small bowel herniation occurred through the posterior rectus sheath of a cannula site despite closure of the anterior sheath. The proposed mechanism was coalescence of two adjacent 12 mm defects, resulting from the re-introduction of a displaced cannula. It is recommended that a displaced cannula be re-introduced along the original track using a blunt trocar. This should be done whilst observing the procedure with the video camera. Prevention of cannula site hernia can only be ensured with complete closure of both anterior and posterior rectus sheath.
引用
收藏
页码:117 / 118
页数:2
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