Petrakis Ioannis, Xenaki Sofia, Andreou Alexandros, Panagiotakis Georgιοσ, Chalkiadakis George
Department of General Surgery, University General Hospital of Heraklion, Crete, Heraklion 71110, Greece.
Department of General Surgery, University General Hospital of Heraklion, Crete, Heraklion 71110, Greece.
Int J Surg Case Rep. 2015;8C:96-9. doi: 10.1016/j.ijscr.2015.01.039. Epub 2015 Jan 28.
Abdominoplasty is a surgical procedure which is commonly used for cosmetic purposes. However, there are very few reports in the world literature describing the abdominoplasty procedure for therapeutic purposes rather than for cosmetic reasons.
A 58 year old female presented with an excessive drooping belly and a concomitant minor umbilical stoma hernia, who suffered from chronic back pain, urinary incontinence, nerve atrophy of the low extremes, central-type obesity, gastric disorders, and spinal osteophytes who underwent abdominoplasty and umbilical hernia repair.
On discharge from the hospital after 11 days, the patient mentioned satisfactory elimination of the back pain as well as amelioration of the urinary incontinence. Within 14 months after the operation, the patient noticed extreme improvement of ambulation and postural stability as well as complete disappearance of the neuro-myodystrophy.
Wide abdominal rectus plication abdominoplasty should be considered to be performed for therapeutic purposes when major health problems occur.
腹壁成形术是一种常用于美容目的的外科手术。然而，世界文献中很少有报道描述出于治疗目的而非美容原因进行的腹壁成形术。
一名58岁女性，腹部严重下垂并伴有轻度脐部造口疝，患有慢性背痛、尿失禁、下肢神经萎缩、中心型肥胖、胃部疾病和脊柱骨质增生，接受了腹壁成形术和脐疝修补术。
术后11天出院时，患者表示背痛得到了满意的缓解，尿失禁也有所改善。术后14个月内，患者行走和姿势稳定性有了极大改善，神经肌肉营养不良完全消失。
当出现重大健康问题时，应考虑进行广泛的腹直肌折叠腹壁成形术以达到治疗目的。
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