腹腔烟卷引流拔出后,发生切口小肠脱出嵌顿,临床较为少见,我们曾在院内外遇到4例,现报告如下:【例1】女,57岁,因胆总管结石合并化脓性胆管炎、胆囊炎和感染性休克而施行胆总管切开取石 T 管引流、胆囊造瘘和腹腔引流术(烟卷由切口引出)...腹腔烟卷引流拔出后,发生切口小肠脱出嵌顿,临床较为少见,我们曾在院内外遇到4例,现报告如下:【例1】女,57岁,因胆总管结石合并化脓性胆管炎、胆囊炎和感染性休克而施行胆总管切开取石 T 管引流、胆囊造瘘和腹腔引流术(烟卷由切口引出)。术后休克纠正,病情稳定,但有咳嗽等不适。第4天上午拔出烟卷引流,病人无特殊不适,当晚诉切口疼痛,检查除局部轻度压痛外未见其他异常。展开更多
Background.:One of the unfortunate complications associated with the use of Penrose drains is slipping down of the drain into the peritoneal cavity because of incomplete placement of skin sutures to secure the drain. ...Background.:One of the unfortunate complications associated with the use of Penrose drains is slipping down of the drain into the peritoneal cavity because of incomplete placement of skin sutures to secure the drain. Case.:A 49-year-old woman with the International Federation of Gynecology and Obstetrics (FIGO) stage IIIc ovarian cancer underwent bilateral salpingo-oophorectomy,total hysterectomy,partial omentectomy,and pelvic and para-aortic lymph nodes removal. On the third postoperative day,one of the Penrose drains slipped down,leaving it inside the patient. The intraperitoneal Penrose drain was successfully retrieved under endoscopic guidance through vaginal cut stump. She went home on the 9th day after the initial operation and started to receive postoperative adjuvant chemotherapy on the 17th day. Conclusion.:The endoscopic-guided retrieval through vaginal cut stump of an intraperitoneal retained Penrose drain is an excellent option.展开更多
文摘腹腔烟卷引流拔出后,发生切口小肠脱出嵌顿,临床较为少见,我们曾在院内外遇到4例,现报告如下:【例1】女,57岁,因胆总管结石合并化脓性胆管炎、胆囊炎和感染性休克而施行胆总管切开取石 T 管引流、胆囊造瘘和腹腔引流术(烟卷由切口引出)。术后休克纠正,病情稳定,但有咳嗽等不适。第4天上午拔出烟卷引流,病人无特殊不适,当晚诉切口疼痛,检查除局部轻度压痛外未见其他异常。
文摘Background.:One of the unfortunate complications associated with the use of Penrose drains is slipping down of the drain into the peritoneal cavity because of incomplete placement of skin sutures to secure the drain. Case.:A 49-year-old woman with the International Federation of Gynecology and Obstetrics (FIGO) stage IIIc ovarian cancer underwent bilateral salpingo-oophorectomy,total hysterectomy,partial omentectomy,and pelvic and para-aortic lymph nodes removal. On the third postoperative day,one of the Penrose drains slipped down,leaving it inside the patient. The intraperitoneal Penrose drain was successfully retrieved under endoscopic guidance through vaginal cut stump. She went home on the 9th day after the initial operation and started to receive postoperative adjuvant chemotherapy on the 17th day. Conclusion.:The endoscopic-guided retrieval through vaginal cut stump of an intraperitoneal retained Penrose drain is an excellent option.
