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七年来,我们做了1100例腹式输卵管结扎术随访,发现并发症5例,为了总结经验教训,现将介绍如下:一、肠系膜损伤1例:因提取输卵管时由于大网膜遮盖视野,用大镊子倒送肠管时,用力过猛将其肠系膜的血管挫伤出血。立即缝合修补。其教训:在用吊钩提取输卵管时要准确轻柔,尤其用大镊子倒送肠管时,防止粗暴操作。二、切口血肿、感染2例:因止血不彻底皮下脂肪组织过度牵拉所致。故手术时要充分止血;对肥胖者操作要防止过度牵拉脂肪组织,对凝血机能不佳的病人
In the past seven years, we have done 1,100 cases of abdominal tubal ligation and found 5 cases of complications. In order to summarize the experience and lessons, we will introduce the following: 1 case of mesenteric injury: due to extraction of the fallopian tube due to the omentum to cover the field of view, Large tweezers back bowel, excessive force to mesenteric vascular contusion bleeding. Suture immediately repair. The lesson: When using a hook to extract the fallopian tubes to be accurate and gentle, especially when using large tweezers back bowel, to prevent rude operation. Second, incision hematoma, infection in 2 cases: due to hemostasis is not completely subcutaneous adipose tissue caused by excessive traction. Therefore, surgery should be adequate to stop bleeding; the operation of obese to prevent excessive pull fat tissue, coagulation dysfunction in patients