https://scholars.lib.ntu.edu.tw/handle/123456789/460897
標題: | Visceral sliding technique is useful for detecting abdominal adhesion and preventing laparoscopic surgical complications | 作者: | Hsu W.-C WEN-CHUN CHANG Huang S.-C PAO-LING TORNG DAW-YUAN CHANG BOR-CHING SHEU |
公開日期: | 2006 | 卷: | 62 | 期: | 2 | 起(迄)頁: | 75-78 | 來源出版物: | Gynecologic and Obstetric Investigation | 摘要: | Study Objective: Introduce a non-invasive method preoperatively to prevent bowel injury by the Veres needle and trocar during laparoscopy. Design: Case-controlled study. Setting: A hospital-based study. Patients: Five hundred and twelve patients who underwent laparoscopic surgery were prospectively enrolled. Intervention: A simple and non-invasive method to detect bowel adhesions preoperatively. Results: A total of 512 patients who underwent operative laparoscopy were prospectively enrolled for ultrasonographic visceral sliding evaluation. They were subdivided into two groups as follows: group I, 332 patients without previous abdominal surgery; group II, 180 patients with previous abdominal surgery. No bowel adhesion to the umbilicus was present in group I. In group II, only two cases with bowel adhered to the periumbilical area were found by visceral sliding technique. No patients suffered any bowel injury. Conclusion: The proposed technique is useful and highly effective in guiding the insertion of the Veres needle and trocar to prevent bowel injury in laparoscopy. Copyright ? 2006 S. Karger AG. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/460897 | ISSN: | 0378-7346 | DOI: | 10.1159/000092479 | SDG/關鍵字: | abdominal injury; abdominal surgery; adolescent; adult; aged; article; controlled study; diagnostic accuracy; diagnostic procedure; echography; hospital based case control study; human; intestine injury; intestine perforation; laparoscopic surgery; laparoscopy; major clinical study; needle; non invasive procedure; peritoneum adhesion; postoperative complication; preoperative evaluation; priority journal; safety; sensitivity and specificity; surgical risk; surgical technique; trocar; visceral sliding technique; Abdomen; Adhesions; Adolescent; Adult; Aged; Case-Control Studies; Female; Gynecologic Surgical Procedures; Humans; Intestinal Diseases; Intestinal Perforation; Intestines; Laparoscopes; Laparoscopy; Middle Aged; Needles; Prospective Studies; Reoperation; Surgical Instruments; Tissue Adhesions; Umbilicus; Viscera |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。