用于膀胱外翻中创建新脐部的螺旋旋转皮瓣。
Spiral rotational flap for the creation of a new umbilicus in bladder exstrophy.
作者信息
Featherstone Neil C, Cuckow Peter M
机构信息
Department of Urology, Great Ormond Street Hospital for Sick Children, London, UK.
Department of Urology, Great Ormond Street Hospital for Sick Children, London, UK.
出版信息
J Pediatr Urol. 2015 Apr;11(2):96-7. doi: 10.1016/j.jpurol.2014.11.008. Epub 2015 Feb 18.
OBJECTIVE
A range of surgical techniques have been described to create a new umbilicus in children with bladder exstrophy. We present a detailed video demonstrating our technique for the creation of a new umbilicus.
METHOD
The position of the planned umbilicus and flap were marked on the abdomen. Incisions were made using monopolar diathermy. The flap was raised and excess fat thinned. Subcutaneous tissues were apposed, and the flap rotated and sutured in spiral fashion with interrupted 6/0 monocryl forming a cone which was subsequently inverted.
RESULTS
Between May 1999 and August 2014, we used this technique for the creation of a new umbilicus in 47 bladder exstrophy patients (31 boys and 16 girls). No complications occurred. All were followed up as part of our bladder exstrophy programme.
CONCLUSION
The technique allows reproducible excellent cosmetic results. Aesthetic results are durable and it should be considered as an alternative to existing reported techniques.
目的
已经描述了一系列外科技术用于为膀胱外翻患儿创建新的脐部。我们展示一段详细视频，演示我们创建新脐部的技术。
方法
在腹部标记出计划中的脐部和皮瓣的位置。使用单极电刀进行切口。掀起皮瓣并将多余脂肪削薄。将皮下组织对合，皮瓣旋转并用6/0单丝可吸收缝线以螺旋方式间断缝合，形成一个圆锥体，随后将其翻转。
结果
在1999年5月至2014年8月期间，我们使用该技术为47例膀胱外翻患者（31例男孩和16例女孩）创建新脐部。未发生并发症。作为我们膀胱外翻治疗计划的一部分，所有患者均接受了随访。
结论
该技术可产生可重复的出色美容效果。美学效果持久，应被视为现有报道技术的一种替代方法。
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