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[聚乙醇酸网片在肝脏和脾脏手术中的应用]

[Polyglycolic acid mesh in surgery of the liver and spleen].

作者信息

Arndt M, Pelster F W

机构信息

Abteilung Allgemeine Chirurgie, Chirurgische Universitätsklinik Münster.

出版信息

Helv Chir Acta. 1990 Jun;57(1):147-52.

PMID:2172191
Abstract

Since 1987 absorbable PGA-mesh (Dexon) has been used as a pad for mattress sutures and as remaining tamponade in surgery of the liver and spleen. In 25 cases atypical resections of liver tumors have been performed using PGA-mesh to secure mattress sutures. Blood loss was below 500 cm3 in all cases, operating time was decreased and no infection was seen. Six times this technique was also used in cases with splenic trauma. In all patients the organ could be preserved. In 10 patients with severe trauma of the liver PGA-mesh was successfully used as a remaining tamponade. Also in these cases no infection occurred although 50 mesh had been implanted in one case.

摘要

自1987年以来,可吸收性聚乙醇酸网片(Dexon)已被用作褥式缝合的垫片以及肝脏和脾脏手术中的残余填塞物。在25例肝脏肿瘤非典型切除术中,使用聚乙醇酸网片来固定褥式缝合。所有病例的失血量均低于500立方厘米,手术时间缩短,且未见感染。该技术还6次用于脾外伤病例。所有患者的脾脏均得以保留。在10例严重肝外伤患者中,聚乙醇酸网片成功用作残余填塞物。在这些病例中,尽管有1例植入了50片网片,但也未发生感染。

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