Wheeler R A, Malone P S
Wessex Regional Centre for Paediatric Surgery, General Hospital, Southampton, UK.
Br J Surg. 1991 Nov;78(11):1283-5. doi: 10.1002/bjs.1800781103.
Ignored for years, the appendix is once again being promoted as having useful surgical potential, notably in the management of incontinence. Incidental and prophylactic appendicectomy with their established complications become less easy to justify as the incidence of appendicitis declines. The role of the appendix in reconstructive surgery is reviewed, with particular reference to urinary reconstruction and to the treatment of chronically constipated or faecally incontinent children by use of the antegrade continence enema.
阑尾多年来一直被忽视，如今它再次被认为具有潜在的有益手术价值，尤其是在大小便失禁的治疗方面。随着阑尾炎发病率的下降，附带性和预防性阑尾切除术及其已有的并发症就不那么容易说得通了。本文回顾了阑尾在重建手术中的作用，特别提及了尿路重建以及通过顺行性节制灌肠法治疗慢性便秘或大便失禁儿童的情况。
