王丽婷 原江亮 高鹏程

    【摘要】目的：分析接受腹腔镜经腹腹膜前疝修补术后出现肠梗阻的发病机制、治疗方法及预防方法。方法：回顾性分析我科1例腹腔镜经腹腹膜前疝修补术术后肠梗阻病例，了解肠梗阻形成原因。结果：腹腔镜探查后，发现缝合腹膜的倒刺线留置过长，与小肠肠系膜粘连后形成粘连带，小肠围绕粘连带形成肠扭转，进而导致肠梗阻。结论：腹腔镜经腹腹膜前疝修补术中，应正确使用倒刺线关闭腹膜，关闭腹膜时可以在倒刺线末端打结后再剪断，避免留置线头过短导致脱线。也可将倒刺线固定于脐内侧皱襞上，让脂肪将倒刺线末端覆盖，以降低肠梗阻发生率。

    【关键词】腹腔镜；腹股沟疝；经腹腹膜前修补术；并发症；肠梗阻

    A case report of intestinal obstruction after transabdominal anterior peritoneal hernia repairsurgery

    WANG Liting， YUAN Jiangliang， GAO Pengcheng

    Department of general surgery， Jincheng Peoples Hospital， Jincheng， Shanxi 048000， China

    【Abstract】Objective：To analyze the pathogenesis，treatment and prevention of intestinal obstruction after laparoscopic transabdominal anterior peritoneal hernia repair.Methods：Retrospective analysis of a case of intestinal obstruction after laparoscopic transabdominal anterior peritoneal hernia repair in our department to understand the causes of intestinal obstruction.Results：After laparoscopic exploration ......