Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Gynecological Surgery
- Robotic Surgery
- Cardiovascular Surgery
- Ophthalmic Surgery
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Minimally Invasive Surgery
- General Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2042.Case Report | Open Access
Colon Injury during Intraoperative Puncture of Percutaneous Endoscopic Lumbar Discectomy: A Case Report
Dingwen He, Xinxin Miao, Jingyu Jia and Xigao Cheng
Department of Orthopaedic Surgery, The Second Affiliated Hospital of Nanchang University, China
*Correspondance to: Xigao Cheng
PDF Full Text DOI: 10.25107/2474-1647.2042
Abstract
Background: Percutaneous Endoscopic Lumbar Discectomy (PELD) has been promoted as a useful surgical strategy. The efficacy and safety of PELD have been improved by technological innovation with time. But, there are still some complications have been reported. We have countered a nonreported intraoperative puncture-related complication of colon injury, and consequently successful diagnosis and conservative management which wish to attack attention to this hazard and avoid it.Case Description: A 63-year-old female with abdominal pain and fever 1 day after PELD. According to the patients’ complaints of recurrent fever with constant abdominal, laboratory tests, imaginings and incision pain persistently, confirmed diagnosis (septicemia) and guidelines of management, so we decided to carry out anti-infection therapy (Yaan), fasting, gastrointestinal decompression, maintenance of water electrolyte balance and symptomatic support treatment. After constant conservative treatment, the results of laboratory tests were negative and the previous described symptoms of the case were relieved apparently. Finally, the result of colonoscopy revealed that the organization was intact. The patient made smoothly recovery and was free of symptoms before discharged.Conclusion: The colon injury during PELD procedures is a scanty but a serious complication. A detail plan in advance and prudent operation are very important to improve the safety of this procedure. We hope that this report of PELD complications can help more colleagues, especially the beginner.
Keywords
Percutaneous endoscopic lumbar discectomy; Colon injury; Intraoperative puncturerelated complications
Cite the article
He D, Miao X, Jia J, Cheng X. Colon Injury during Intraoperative Puncture of Percutaneous Endoscopic Lumbar Discectomy: A Case Report. Clin Surg. 2018; 3: 2042.
