書誌事項
- タイトル別名
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- Detection of a Missing Surgical Device during Laparoscopic Gynecologic Surgery: Case report
- 公開日
- 2015
- DOI
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- 10.5180/jsgoe.30.450
- 公開者
- 日本産科婦人科内視鏡学会
この論文をさがす
説明
Misplacement and retention of a small surgical device should be avoided because it may result in complications such as infection or injury. Compared to a laparotomy, because of limited visualization during laparoscopic surgery, loss of a small surgical device is more likely and detection is more difficult.<br> A 48-year-old woman underwent a total laparoscopic hysterectomy for cervical adenocarcinoma in situ. During the surgery, we used 5 mm metallic clips for bundling the tapes, which marked the ureters. When we removed the tapes and clips through a 12 mm trocar following removal of the uterus, one of metallic clips was missing. Laparoscopic exploration of the abdominal cavity, a search of the entire operating room, and exploration of the interior of the trocar failed to detect the clip.<br> We then ordered abdominal X-rays while the patient was still under anesthesia; however, the item was not located. Subsequently, an X-ray of the trocar detected the clip buried deep within it. Detection of small devices are difficult during laparoscopic surgery; therefore, we should handle them carefully.
収録刊行物
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- 日本産科婦人科内視鏡学会雑誌
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日本産科婦人科内視鏡学会雑誌 30 (2), 450-454, 2015
日本産科婦人科内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390001205346415744
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- NII論文ID
- 130005066507
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- ISSN
- 18845746
- 18849938
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可