Privitera Antonio, Dozois Eric J
Department of Surgery, University Hospital of North Staffordshire, Stoke-On-Trent, Staffordshire, UK
Department of Colon and Rectal Surgery, Mayo Clinic College of Medicine, Rochester, USA.
J Surg Case Rep. 2012 Dec 4;2012(11):rjs006. doi: 10.1093/jscr/rjs006.
Fistula formation after restorative proctocolectomy poses a challenge to the surgeon and sometimes can lead to the excision of the pouch. While pouch-vaginal fistulas are more common, pouch-sacral fistulas are a rare event and treatment is still controversial. The authors report a case of pouch-sacral fistula which was treated successfully with a novel approach comprising pouch revision, debridement of sacrum and placement of a human acellular dermal matrix (Alloderm) mesh to patch the residual large sacral defect. This is the first report of the use of Alloderm under this rare condition.
保留肛门的直肠结肠切除术后形成瘘管对外科医生来说是一项挑战，有时可能导致切除贮袋。虽然贮袋 - 阴道瘘更为常见，但贮袋 - 骶骨瘘是一种罕见情况，治疗方法仍存在争议。作者报告了一例贮袋 - 骶骨瘘，采用一种新方法成功治疗，该方法包括贮袋修复、骶骨清创以及放置人脱细胞真皮基质（Alloderm）网片来修补残留的大骶骨缺损。这是在这种罕见情况下使用Alloderm的首次报告。
