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小儿心脏直视手术下中线皮肤切口的美容效果。100例病例回顾。

Cosmetic benefits of lower midline skin incision for pediatric open heart operation. A review of 100 cases.

作者信息

Komai Hiroyoshi, Naito Yasuaki, Fujiwara Keiichi, Noguchi Yasuzo

机构信息

Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, 811-1, Kimiidera, Wakayama 641-0012, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2002 Feb;50(2):55-8. doi: 10.1007/BF02919665.

Abstract

OBJECTIVE

Since we developed the procedure in 1996, we have now performed 100 pediatric open heart operations using a lower midline skin incision and a minimal sternotomy approach.

METHODS AND RESULTS

To elucidate the benefits of this approach, we analyzed these 100 cases retrospectively. There was no death, and no major complication, caused by this approach, and the resulting scarring in each patient is difficult to be seen under a common undershirt.

CONCLUSION

This review shows that the technique of a lower midline skin incision and minimal sternotomy approach is a safe reliable and cosmetically advantageous method for a pediatric cardiac operation.

摘要

目的

自1996年我们开展该手术方法以来,目前已采用低位正中皮肤切口和微创胸骨切开术式完成了100例小儿心脏直视手术。

方法与结果

为阐明该术式的优势,我们对这100例病例进行了回顾性分析。该术式未导致死亡及严重并发症,且每位患者术后形成的瘢痕在普通汗衫下难以看出。

结论

本综述表明,低位正中皮肤切口和微创胸骨切开术式是小儿心脏手术中一种安全可靠且美观效果良好的方法。

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