骨锚在会阴重建中用于自体皮瓣固定的应用：一例报告。
The use of bone anchors for autologous flap fixation in perineal reconstruction: a case report.
作者信息
Saad Adam, Cece John A, Arvanitis Michael L, Elkwood Andrew I
机构信息
The Institute for Advanced Reconstruction at The Plastic Surgery Center, Shrewsbury, NJ, USA
The Institute for Advanced Reconstruction at The Plastic Surgery Center, Shrewsbury, NJ, USA.
出版信息
J Surg Case Rep. 2013 Jul 30;2013(7):rjt063. doi: 10.1093/jscr/rjt063.
The purpose of this case report is to demonstrate the use of bone anchors with an autologous flap in perineal reconstruction. This technique has not been reported before. A 64-year-old female presented to our office with a chief complaint of perineal hernia 1.5 years after abdominoperineal resection. She had a history of recurrent rectal cancer for which she received chemotherapy, radiation and surgery. To repair the hernia, a standard vertical rectus abdominismyocutaneous was harvested and de-epithelialized. It was secured into place in the pelvis utilizing several bone anchors. Mesh was used to repair the donor site defect. At 18 month follow-up, there was good healing of all the wounds and no recurrence of the hernia. She was pain free and able to resume her activities of daily living. Bone anchor fixation is a viable technique for fixation of autologous flaps in perineal reconstruction.
本病例报告的目的是展示骨锚在会阴重建中与自体皮瓣联合使用的情况。此前尚未有该技术的相关报道。一名64岁女性因腹会阴切除术后1.5年出现会阴疝为主诉前来我院就诊。她有复发性直肠癌病史，接受过化疗、放疗和手术。为修复疝，切取一块标准的腹直肌肌皮瓣并去除表皮。利用数枚骨锚将其固定于骨盆内。使用网片修复供区缺损。随访18个月时，所有伤口愈合良好，疝无复发。她无疼痛，能够恢复日常生活活动。骨锚固定是会阴重建中固定自体皮瓣的一种可行技术。
Zotero 插件