单中心10年腹壁缺损管理经验。
Single-center 10-year experience in the management of anterior abdominal wall defects.
作者信息
Rahn S, Bahr M, Schalamon J, Saxena A K
机构信息
Department of Pediatric Surgery, Friedrich Schiller University, Jena, Germany.
出版信息
Hernia. 2008 Aug;12(4):345-50. doi: 10.1007/s10029-008-0336-6. Epub 2008 Apr 15.
BACKGROUND
Anterior abdominal wall defects can be managed with various techniques, since no one technique can be applied to all types of defects. The aim of this study is to present a single-center experience using biomaterials and evaluate the outcomes.
METHODS
The clinical data obtained from 33 neonates (24 gastroschisis and 9 omphaloceles) managed for anterior abdominal wall defects at a single center from 1995 until 2005 were evaluated.
RESULTS
Primary skin closure of the defect was possible in 22 (67%) cases; however, 4 of 22 (12%) required an inner patch. In seven (21%), two patches were employed. The grafts used were: seven (22%) Goretex, four (12%) dura and one (3%) bovine pericard.
CONCLUSION
In our single-center experience, both synthetic (Goretex patches) and natural biomaterials (dura and bovine patches) were found to be alternatives to manage these defects. The advantages and disadvantages of the alternatives are presented.
背景
由于没有一种技术能适用于所有类型的腹壁缺损，因此可以采用多种技术来处理腹壁前部缺损。本研究的目的是介绍单中心使用生物材料的经验并评估结果。
方法
对1995年至2005年在单中心接受治疗的33例腹壁前部缺损新生儿（24例腹裂和9例脐膨出）的临床资料进行评估。
结果
22例（67%）缺损可进行一期皮肤缝合；然而，22例中有4例（12%）需要内置补片。7例（21%）使用了两片补片。使用的移植物有：7例（22%）使用了戈尔特斯（Goretex），4例（12%）使用了硬脑膜，1例（3%）使用了牛心包。
结论
在我们的单中心经验中，发现合成材料（戈尔特斯补片）和天然生物材料（硬脑膜和牛补片）都是处理这些缺损的替代方法。文中介绍了这些替代方法的优缺点。
Zotero 插件