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双层使用人工合成网片进行胸壁重建的利弊

Pros and cons of chest wall reconstruction using prosthetic meshes in a two-layer fashion.

作者信息

Kodama K, Higashiyama M, Higaki N, Takami K

机构信息

Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan.

出版信息

Thorac Cardiovasc Surg. 2002 Dec;50(6):361-3. doi: 10.1055/s-2002-35740.

DOI:10.1055/s-2002-35740
PMID:12457315
Abstract

A 46-year-old woman with giant chondrosarcoma of the sternum underwent wide full-thickness resection of the anterior chest wall, which included the pericardium and lung. The free rectus abdominus musculocutaneous flap was transplanted onto prosthetic meshes placed in two layers. While stability and esthetic effect were both good, the subsequent infection in the space between the two meshes prolonged for one month. As a result, the space was closed with an omentum flap. As a consequence, we recommend one-stage omentopexy to prevent the space problem between the two meshes.

摘要

一名患有胸骨巨大软骨肉瘤的46岁女性接受了前胸壁全层广泛切除术,切除范围包括心包和肺。游离腹直肌肌皮瓣被移植到两层人工合成补片上。虽然稳定性和美学效果都很好,但随后两层补片之间的间隙感染持续了一个月。结果,用网膜瓣封闭了该间隙。因此,我们建议进行一期网膜固定术以预防两层补片之间的间隙问题。

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Giant chest wall tumour invading the abdominal cavity: simultaneous reconstruction of the chest wall and hemidiaphragm.巨大胸壁肿瘤侵犯腹腔:胸壁和半膈肌同期重建
Can J Surg. 2008 Apr;51(2):E30-1.