지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 195 - 198 (4page)
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초록· 키워드
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Stapled transanal rectal resection (STARR) and stapled hemorrhoidopexy (SH) are well-established techniques for treating rectal prolapse and obstructed defecation syndrome (ODS). Occasionally, they can be associated with severe complications. We describe the case of a 59-year-old woman who underwent STARR for ODS and developed a postoperative pelvic hemorrhage. A computed tomography (CT) scan revealed a vast pelvic, retroperitoneal hematoma and free gas in the abdomen. Laparoscopy ruled out any bowel lesions, but identified a hematoma of the pelvis. Flexible sigmoidoscopy showed a small leakage of the rectal suture. The patient was treated conservatively and recovered completely. Surgeons performing STARR and SH must be aware of the risk of this rare, but severe, complication. If the patient is not progressing after a STARR or SH, a CT scan can be indicated to rule out intra-abdominal and pelvic hemorrhage. Laparoscopy is a diagnostic tool and should be associated with intraluminal exploration with flexible sigmoidoscopy.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Longo A / 1998 / Treatment of haemorrhoidal disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device: a new procedure / Proceedings of the 6th World Congress of Endoscopic Surgery: 6th International Congress of European Association for Endoscopic Surgery (EAES) :777~784
Corman ML / 2006 / Consensus conference on the stapled transanal rectal resection (STARR) for disordered defaecation / Colorectal Dis 8:98~101
National Institute for Health and Care Excellence / Circular stapled haemorrhoidectomy: Understanding NICE guidance – information for people considering the procedure, and for the public. NICE Interventional Procedure Guidance IPG34. Dec 2003
Schwandner O / 2008 / Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR Pioneers / Surg Innov 15:105~109
Naldini G / 2011 / Serious unconventional complications of surgery with stapler for haemorrhoidal prolapse and obstructed defaecation because of rectocoele and rectal intussusception / Colorectal Dis 13:323~327
Corman ML / 2006 / Consensus conference on the stapled transanal rectal resection (STARR) for disordered defaecation / Colorectal Dis 8:98~101
National Institute for Health and Care Excellence / Circular stapled haemorrhoidectomy: Understanding NICE guidance – information for people considering the procedure, and for the public. NICE Interventional Procedure Guidance IPG34. Dec 2003
Schwandner O / 2008 / Decision-making algorithm for the STARR procedure in obstructed defecation syndrome: position statement of the group of STARR Pioneers / Surg Innov 15:105~109
Naldini G / 2011 / Serious unconventional complications of surgery with stapler for haemorrhoidal prolapse and obstructed defaecation because of rectocoele and rectal intussusception / Colorectal Dis 13:323~327
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