"Early Post-operative Mechanical Small Bowel Obstruction Induced by Unidirectional Barbed Suture".

Autor:	Gee KN; Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA., Many HR; Department of Surgery, Division of Trauma and Critical Care Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA., Foulke E; Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA., Smith LM; Department of Surgery, Division of Trauma and Critical Care Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA.
Jazyk:	angličtina
Zdroj:	The American surgeon [Am Surg] 2023 Sep; Vol. 89 (9), pp. 3937-3938. Date of Electronic Publication: 2023 May 28.
DOI:	10.1177/00031348231175115
Abstrakt:	Unidirectional barbed suture is widely used in minimally invasive procedures as a secure alternative to traditional knot tying. In this report, a 44-year-old female with endometriosis and complex gynecological history presented to our emergency department 2 weeks after undergoing minimally invasive gynecological surgery. She had persistent, progressive signs and symptoms typical of intermittent partial small bowel obstruction. On her third admission within 7 days for this pattern, laparoscopic abdominal exploration was performed. She was noted to have small bowel obstruction secondary to ingrowth of the tail of a unidirectional barbed suture kinking the terminal ileum during this procedure. We discuss small bowel obstruction due to unidirectional barbed suture and make recommendations on how to avoid this complication. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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