頁籤選單縮合
題 名 | Delayed Perisplenic Abscess after Splenorrhaphy with Non-Absorbable Mesh: A Case Report=使用不可吸收的人造網行脾臟縫合術後發生延遲性脾臟旁膿瘍:病例報告 |
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作 者 | 陳維信; 黃尉翔; 吳誠中; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 6:2 2010.12[民99.12] |
頁 次 | 頁117-120 |
分類號 | 416.249 |
關鍵詞 | 脾臟旁膿瘍; 脾臟包裹; 脾臟縫合術; 醫源性脾臟傷害; Perisplenic abscess; Splenic wrapping; Splenorrhaphy; Iatrogenic splenic injury; |
語 文 | 英文(English) |
中文摘要 | 在上腹部的手術當中有時候會傷害到脾臟。當傷害造成出血時,可用電燒、壓迫、縫合出血點、脾臟縫合、甚至脾臟切除來解決。在消化道已被打開或者穿孔的情況下,使用人造網來進行脾臟縫合,術後可能造成感染。我們報告一個75歲的男性在前次胃潰瘍穿孔時接受縫合穿孔手術,兩年後發生延遲性的脾臟周圍膿瘍。當時手術中因為發生脾臟傷害,使用了不可吸收的人造網來做脾臟包裹止血。我們為了控制感染,進行脾臟切除手術,病人術後恢復正常。就我們所知,使用不可吸收之人造網來做脾臟包裹止血進而產生脾臟旁膿瘍在文獻中並未報告過,此為一種脾臟縫合術後遲發性的少見併發症。 |
英文摘要 | Intraoperative Injury of spleen is sometimes developed in upper abdominal surgery. When injury occurred, the bleeding can be stopped by cauterization, temporary packing, direct suture, splenorrhaphy or even splenectomy. When alimentary tract is opened or perforated, postoperative infection is possible after splenorrhaphy with artificial mesh. A 75-year-old man suffered from delayed perisplenic abscess two years after simple closure of perforated gastric ulcer. Splenic wrapping with non-absorbable mesh was performed for stopping iatrogenic splenic injury at that time. Splenectomy was performed for removal of foreign body and infection control. The patient recovered uneventfully. To our knowledge, perisplenic abscess caused by wrapping with non-absorbable mesh was never described before. It is an unusual delayed complication after splenorrhaphy with non-absorbable mesh. |
本系統中英文摘要資訊取自各篇刊載內容。