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改良芬尼肠成形术:一种用于穿透性空肠和回肠损伤的保留肠管的损伤控制吻合技术。

Modified Finney enteroplasty: a bowel sparing damage control stapled technique for penetrating jejunal and ileal injuries.

作者信息

Smith-Singares Eduardo

机构信息

Division of Surgical Critical Care, Department of Surgery, University of Illinois at Chicago, Chicago, IL, 60612, USA.

出版信息

Updates Surg. 2018 Mar;70(1):143-146. doi: 10.1007/s13304-018-0518-4. Epub 2018 Feb 24.

Abstract

The rise in gun violence and other penetrating trauma constitutes one of the main challenges in the modern practice of Acute Care Surgery. Expertise in the emergency management of this type of injuries is needed if one is to avoid preventable complications, such as short bowel syndrome. Revisiting and sometimes repurposing old surgical techniques may facilitate this task. The use of a modified Finney enteroplasty as a bowel sparing damage control technique for penetrating jejunal and ileal injuries was studied on 87 gunshot wound victims. The results show this to be a safe and efficient bowel sparing approach to the management of these injuries.

摘要

枪支暴力和其他穿透性创伤的增加是现代急性护理外科实践中的主要挑战之一。要避免诸如短肠综合征等可预防的并发症,就需要具备此类损伤的应急管理专业知识。回顾并有时重新应用旧的外科技术可能有助于完成这项任务。我们对87名枪伤受害者进行了研究,使用改良的芬尼肠成形术作为一种保留肠道的损伤控制技术来处理空肠和回肠穿透伤。结果表明,这是一种安全有效的保留肠道的方法来处理这些损伤。

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