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Retained staples as a cause of mechanical small-bowel obstruction.

机译:保留的订书钉会造成机械性小肠梗阻。

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The use of mechanical stapling devices in endoscopic surgery has become widespread and commonplace. Although problems have been identified with these, to our knowledge no description has been made of retained, free intraperitoneal staples causing significant morbidity. We describe the case of a patient who underwent laparoscopically assisted vaginal hysterectomy. Four weeks postoperatively she developed a mechanical small-bowel obstruction which was caused by a free intraperitoneal staple creating an obstructing band. The obstruction was relieved laparoscopically. We believe that while retained free intraperitoneal staples are generally of no clinical consequence, surgeons should be aware that the potential exists for significant morbidity.
机译:在内窥镜手术中机械吻合装置的使用已变得普遍和普遍。尽管已经发现了这些问题,但据我们所知,尚未对保留的游离腹膜内吻合钉造成明显的发病率进行描述。我们描述了接受腹腔镜辅助阴道子宫切除术的患者的情况。术后四周,她出现了机械性小肠梗阻,这是由于腹膜内的游离吻合钉造成了梗阻带所致。腹腔镜可解除梗阻。我们相信,尽管保留游离的腹膜内吻合钉通常没有临床意义,但外科医生应意识到存在显着发病率的可能性。

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