Chuwa E W, Seow-Choen F
Department of Colorectal Surgery, Singapore General Hospital, Singapore.
Tech Coloproctol. 2006 Jul;10(2):139-42. doi: 10.1007/s10151-006-0268-z. Epub 2006 Jun 19.
A case of necrotising fasciitis with full-thickness loss of the entire abdominal wall is reported after an uncomplicated elective low anterior resection. Salvage was accomplished by early wide surgical extirpation and repeated re-explorations and debridements. The presence of ample omentum helped prevent evisceration and allowed granulation tissue to gradually seal the abdominal cavity over a period of 4 months without further reconstructive procedures.
本文报告了1例择期低位前切除术后出现坏死性筋膜炎且整个腹壁全层缺失的病例。通过早期广泛手术切除、反复再次探查和清创实现了挽救。丰富的大网膜的存在有助于防止内脏脱出，并使肉芽组织在4个月的时间内逐渐封闭腹腔，无需进一步的重建手术。
