Levine Elie, Taub Peter J, Franco Israel
Division of Plastic and Reconstructive Surgery, Mount Sinai Medical Center, New York, NY 10128, USA.
Ann Plast Surg. 2007 Feb;58(2):162-5. doi: 10.1097/01.sap.0000237763.60853.c6.
Prune-belly syndrome (PBS) refers to a congenital absence or weakness of the musculature of the abdominal wall, in conjunction with anomalies of the gastrointestinal or genitourinary systems. As such, many patients undergo numerous intra-abdominal procedures and develop significant peritoneal adhesions, making reoperation a challenging endeavor. Numerous approaches to abdominal wall reconstruction in patients with PBS have been reported. The authors describe a novel approach that uses laparoscopic visualization of intra-abdominal contents combined with abdominal wall plication. This technique has been safely performed in 6 patients with PBS. It is believed to improve safety and allows for bilateral, vertical, 2-layer, fascial plication to strengthen the abdominal wall.
梅干腹综合征（PBS）是指腹壁肌肉组织先天性缺失或薄弱，同时伴有胃肠道或泌尿生殖系统异常。因此，许多患者接受了多次腹腔内手术并形成了严重的腹膜粘连，使得再次手术成为一项具有挑战性的工作。已有报道针对PBS患者的多种腹壁重建方法。作者描述了一种新颖的方法，该方法利用腹腔镜对腹腔内容物进行可视化，并结合腹壁折叠术。该技术已在6例PBS患者中安全实施。据信，它提高了安全性，并允许进行双侧、垂直、两层的筋膜折叠以加强腹壁。
