日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
症例報告
全腹腔鏡下子宮全摘出術中にVagi-パイプ®を誤挿入し直腸損傷を合併したが大腸内視鏡下に治療した1例
田中 昌哉斎藤 元章大西 純貴津田 明奈鈴木 二郎武田 規央芦田 敬岡本 愛光
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2024 年 39 巻 2 号 p. 77-81

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 Laparoscopic surgery has become a widely accepted standard for treating benign gynecological conditions in recent years. Total laparoscopic hysterectomy (TLH) is one of these procedures, which is performed at numerous medical institutions. Compared to total abdominal hysterectomy (TAH), TLH offers a less invasive approach, leading to reduced postoperative pain, a shorter hospital stay and quicker reintegration into society. However, the extensive use of electric scalpels and energy devices in a confined spaces increases the risk of serious complications such as intestinal injury and bladder injury. In such cases, a shift to laparotomy may be necessary. Herein, we report a case involving a rectal injury that occurred from the incorrect insertion of a vagi pipe. This complication led to a rectal incision, which was successfully repaired using a hemostatic clip during a postoperative colonoscopy.

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