LAPAROSCOPIC REPAIR OF SMALL-BOWEL AND COLON - A REPORT OF 26 CASES

被引:51
作者
NEZHAT, C
NEZHAT, F
AMBROZE, W
PENNINGTON, E
机构
[1] Center for Special Pelvic Surgery, Atlanta, 30342, GA, 5555 Peachtree-Dunwoody Road
[2] Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon, 31207, GA
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 02期
关键词
SMALL BOWEL; COLON; ENTEROTOMY; LAPAROSCOPE; OPERATIVE LAPAROSCOPY;
D O I
10.1007/BF00704384
中图分类号
R61 [外科手术学];
学科分类号
摘要
This is a retrospective review of laparoscopic repair for enterotomies created during therapeutic or diagnostic laparoscopy in 26 women. All patients had mechanical and antibiotic bowel preparation pre-operatively. The indication for operative laparoscopy was endometriosis (18), severe abdominal adhesive disease (7), and adhesions with Crohn's disease (1). Enterotomies were secondary either to CO2 laser vaporization or excision of endometriosis and/or lysis of adhesions (23) and trocar insertion (3). The injuries included small-bowel enterotomies (9), colotomies (4), and rectotomies (13). No clinical complications related to enterotomy repair were noted. Twenty-three patients were discharged 1 day after surgery; one was discharged on postoperative day 2; and two were discharged on postoperative day 3. We concluded that small- and large-bowel enterotomies can be repaired safely via the laparoscope with minimum morbidity in patients with prepared bowel.
引用
收藏
页码:88 / 89
页数:2
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