Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2021; 9(31): 9584-9591
Published online Nov 6, 2021. doi: 10.12998/wjcc.v9.i31.9584
Ureteroscopic holmium laser to transect the greater omentum to remove an abdominal drain: Four case reports
Hong-Ming Liu, Guang-Heng Luo, Xiao-Fei Yang, Zhu-Gang Chu, Tian Ye, Zhi-Yong Su, Li Kai, Xiu-Shu Yang, Zhen Wang
Hong-Ming Liu, Guang-Heng Luo, Zhu-Gang Chu, Tian Ye, Zhi-Yong Su, Li Kai, Xiu-Shu Yang, Zhen Wang, Department of Urology, Guizhou Provincial People’s Hospital, Guiyang 550002, Guizhou Province, China
Hong-Ming Liu, Zhi-Yong Su, Department of Urology, The Affiliated Hospital of Guizhou Medical University, Guiyang 550000, Guizhou Province, China
Xiao-Fei Yang, Department of General Surgery, Guizhou Provincial People’s Hospital, Guiyang 550002, Guizhou Province, China
Author contributions: Luo GH, Yang XF and Liu HM conceived and designed the study. Chu ZG, Liu HM and Su ZY collected and recorded the patients’ clinical data. Tian Y, Li K and Wang Z assisted with the statistical analyses. Liu HM and Tian Y drafted the manuscript. Luo GH and Yang XS participated in revision of the manuscript. All authors read and approved the final manuscript.
Supported by The National Natural Science Foundation of China, No. 31660293.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guang-Heng Luo, MD, Chief Physician, Director, Doctor, Professor, Department of Urology, Guizhou Provincial People’s Hospital, No. 83 Zhongshan East Road, Nanming District, Guiyang 550002, Guizhou Province, China. lgh2002v@163.com
Received: March 29, 2021
Peer-review started: March 29, 2021
First decision: April 28, 2021
Revised: May 12, 2021
Accepted: September 19, 2021
Article in press: September 19, 2021
Published online: November 6, 2021
Core Tip

Core Tip: Inability to remove an abdominal drainage tube is a complication of abdominal surgery, and one of the main reasons for this is that the greater omentum can become incarcerated in the drainage tube. We report four cases of difficult removal of an abdominal drainage tube treated with ureteroscopic holmium laser surgery to transect the greater omentum. This may be the first report of the use of this technique to successfully remove drainage tubes. All four patients recovered well after surgery and no complications were observed during follow-up. This strategy successfully decreased the risk of a secondary operation, additional hospitalization and minimized patient discomfort.