Brizendine J B, LeFaivre J F, Yost M J, Fann S A
Department of Surgery, University of South Carolina School of Medicine, 2 Med Park, Suite 402, Columbia, SC 29203, USA.
Hernia. 2006 Aug;10(4):360-3. doi: 10.1007/s10029-006-0092-4. Epub 2006 May 17.
Parasacral hernias are defects through the pelvic floor which occur as the result of sacral resection. These defects are often large, and are frequently the result of treatment for sacral malignancies. This report documents the case of a 71-year-old woman who underwent radical coccygectomy and partial sacrectomy for a chordoma and subsequently presented 1 year later with a large parasacral hernia. The defect was repaired using an acellular human dermis graft with a gluteus maximus muscle-advancement flap overlay. This article summarizes the current literature of this challenging clinical problem, and examines the use of acellular human dermis in the repair of complex hernias.
骶旁疝是由于骶骨切除导致的盆底缺损。这些缺损通常较大，且常常是骶骨恶性肿瘤治疗的结果。本报告记录了一例71岁女性的病例，该患者因脊索瘤接受了根治性尾骨切除术和部分骶骨切除术，1年后出现了巨大的骶旁疝。使用脱细胞人真皮移植物并覆盖臀大肌推进皮瓣修复了缺损。本文总结了关于这一具有挑战性的临床问题的现有文献，并探讨了脱细胞人真皮在复杂疝修补中的应用。
