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腹腔镜白线折叠术治疗腹直肌分离——一种无网片方法

Laparoscopic plication of the linea alba as a repair for diastasis recti - a mesh free approach.

作者信息

Siddiky A H, Kapadia C R

机构信息

Airedale General Hospital, Steeton, UK.

出版信息

J Surg Case Rep. 2010 Jul 1;2010(5):3. doi: 10.1093/jscr/2010.5.3.

DOI:10.1093/jscr/2010.5.3
PMID:24946321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649122/
Abstract

Distasis recti is a common occurrence in multiparous women (1), caused by repeated stretching of the abdominal wall by the gravid uterus. A small proportion of patients have a persisting weakness which may be symptomatic and present to the surgeon. We would like to present a case which, thus far, has had a successful outcome from laparoscopic plication of the linea alba without mesh. The benefits of this approach are as for any laparoscopic versus open technique, most notably improved recovery time, reduced pain and wound infection. Furthermore, avoidance of a mesh negates the risks associated with insertion of a foreign body.

摘要

腹直肌分离在经产妇中很常见(1),由妊娠子宫反复拉伸腹壁所致。一小部分患者存在持续的肌无力,可能出现症状并就医于外科医生。我们想介绍一例迄今为止通过白线腹腔镜折叠术(不使用补片)取得成功结果的病例。这种方法的优点与任何腹腔镜手术相对于开放手术的优点相同,最显著的是恢复时间缩短、疼痛减轻和伤口感染减少。此外,避免使用补片可消除与插入异物相关的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/c54164985919/jscr-2010-5-3fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/0c76ea587ccc/jscr-2010-5-3fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/8b574ebe33f9/jscr-2010-5-3fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/c54164985919/jscr-2010-5-3fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/0c76ea587ccc/jscr-2010-5-3fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/8b574ebe33f9/jscr-2010-5-3fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b396/3649122/c54164985919/jscr-2010-5-3fig3.jpg

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本文引用的文献

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Laparoscopic repair of diastasis recti using the 'Venetian blinds' technique of plication with prosthetic reinforcement: a retrospective study.
Hernia. 2009 Jun;13(3):287-92. doi: 10.1007/s10029-008-0464-z. Epub 2009 Feb 12.
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Rectus muscle diastasis in males: primary indication for endoscopically assisted abdominoplasty.男性腹直肌分离:内镜辅助腹壁成形术的主要适应证。
Plast Reconstr Surg. 1998 May;101(6):1685-91; discussion 1692-4. doi: 10.1097/00006534-199805000-00042.
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Treatment Options for Abdominal Rectus Diastasis.腹直肌分离的治疗选择
Front Surg. 2019 Nov 19;6:65. doi: 10.3389/fsurg.2019.00065. eCollection 2019.
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The general surgeon's perspective of rectus diastasis. A systematic review of treatment options.普外科医生对腹直肌分离的看法。治疗选择的系统评价。
Surg Endosc. 2017 Dec;31(12):4934-4949. doi: 10.1007/s00464-017-5607-9. Epub 2017 Jun 8.
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Endoscopic-Assisted Linea Alba Reconstruction plus Mesh Augmentation for Treatment of Umbilical and/or Epigastric Hernias and Rectus Abdominis Diastasis - Early Results.内镜辅助白线重建加补片增强治疗脐疝和/或上腹疝及腹直肌分离——早期结果
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Incidence of diastasis recti abdominis during the childbearing year.产褥期腹直肌分离的发生率。
Phys Ther. 1988 Jul;68(7):1082-6. doi: 10.1093/ptj/68.7.1082.