Takeda Kohsuke, Sowa Yoshihiro, Numajiri Toshiaki, Nishino Kenichi
Department of Surgery, Division of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ann Plast Surg. 2013 Jun;70(6):643-6. doi: 10.1097/SAP.0b013e318285885c.
Normal abdominal expansion that occurs as a result of hormonal actions during pregnancy may be prevented by the presence of excessive scar tissue in individuals who have received severe burns. In these instances, the lack of abdominal expansion may cause maternal pain and put the infant at risk. A 23-year-old pregnant woman presented with severe abdominal wall contracture due to a major burn sustained during childhood. At 20 weeks of pregnancy, expansion abdominoplasty, consisting of zigzag incisions in the fascia to release the contracture and a split-thickness skin graft, was performed. The patient gave birth, via a planned cesarean operation at 36 weeks of pregnancy, to a baby girl in good condition; the postpartum course was uneventful.
怀孕过程中因激素作用而出现的正常腹部扩张,可能会因严重烧伤患者体内过多的瘢痕组织而受到阻碍。在这些情况下,腹部无法扩张可能会导致母体疼痛,并使胎儿面临风险。一名23岁的孕妇因童年时遭受的严重烧伤而出现严重的腹壁挛缩。怀孕20周时,进行了扩张性腹部整形手术,包括在筋膜上做锯齿状切口以松解挛缩,并进行了中厚皮片移植。患者在怀孕36周时通过计划剖宫产产下一名状况良好的女婴;产后过程顺利。