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一种治疗腹壁缺损的新手术方法:一种带血管蒂肋骨-胸膜转移技术,可联合或不联合胸脐皮瓣使用:病例报告

A new surgical treatment for abdominal wall defects: A vascularized ribs-pleural transfer technique that can be used with or without a thoracic umbilical flap a case report.

作者信息

Chen Qiang, Liu Qi, Suo Yan, Xie Qingping

机构信息

Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.

出版信息

Medicine (Baltimore). 2018 Mar;97(9):e9993. doi: 10.1097/MD.0000000000009993.

DOI:10.1097/MD.0000000000009993
PMID:29489700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5851763/
Abstract

RATIONALE

Abdominal wall defects are common after tumor resection.

PATIENT CONCERNS

We report an 83-year-old male patient with recurrent tumors in his abdomen, and who had an incision wound that could not be directly closed. Mesh was not suitable because the wound was infected.

DIAGNOSES

Abdominal wall defect result from the resection of recurrent tumor.

INTERVENTIONS

We carried out a vascularized ribs-pleural transfer operation.

OUTCOMES

After the surgery, the patient gained a functional recovery. No evidence of recurrence was noted 1 year after operation, and the patient showed no symptoms of abdominal compression syndrome.

LESSONS

We discuss the clinical diagnosis, treatment, and follow up and argue that the vascularized ribs-pleural transfer technique is a good method to deal with abdominal wall defects.

摘要

理论依据

肿瘤切除术后腹壁缺损很常见。

患者情况

我们报告一名83岁男性患者,腹部有复发性肿瘤,其切口伤口无法直接缝合。由于伤口感染,补片不合适。

诊断

腹壁缺损由复发性肿瘤切除所致。

干预措施

我们实施了带血管蒂肋骨-胸膜转移术。

结果

术后患者功能恢复。术后1年无复发迹象,患者无腹部压迫综合征症状。

经验教训

我们讨论了临床诊断、治疗及随访情况,并认为带血管蒂肋骨-胸膜转移技术是处理腹壁缺损的一种好方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/781a4073e129/medi-97-e9993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/ca0447c610eb/medi-97-e9993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/f45fdd6c3ade/medi-97-e9993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/b6dadd97a4e8/medi-97-e9993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/781a4073e129/medi-97-e9993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/ca0447c610eb/medi-97-e9993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/f45fdd6c3ade/medi-97-e9993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/b6dadd97a4e8/medi-97-e9993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/5851763/781a4073e129/medi-97-e9993-g004.jpg

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New options for vascularized bone reconstruction in the upper extremity.上肢带血管化骨重建的新选择。
Semin Plast Surg. 2015 Feb;29(1):20-9. doi: 10.1055/s-0035-1544167.
3
Deep inferior epigastric vessel-pedicled, muscle-sparing rectus abdominis myocutaneous (RAM) flap for reconstruction of soft tissue defects in pelvic area.带蒂腹壁下深血管、保留肌肉的腹直肌肌皮瓣用于骨盆区域软组织缺损的重建。
Eur J Orthop Surg Traumatol. 2015 Jul;25(5):859-63. doi: 10.1007/s00590-015-1599-0. Epub 2015 Jan 30.
4
Mandibular condyle and infratemporal fossa reconstruction using vascularized costochondral and calvarial bone grafts.使用带血管蒂肋软骨和颅骨骨移植进行下颌髁突和颞下窝重建。
J Korean Assoc Oral Maxillofac Surg. 2014 Apr;40(2):83-6. doi: 10.5125/jkaoms.2014.40.2.83. Epub 2014 Apr 28.
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Anatomical study of innervated transverse rectus abdominis musculocutaneous and deep inferior epigastric perforator flaps.带神经支配的腹直肌肌皮瓣和腹壁下深动脉穿支皮瓣的解剖学研究
Surg Radiol Anat. 2007 Mar;29(2):149-54. doi: 10.1007/s00276-007-0187-3. Epub 2007 Feb 21.
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Abdominal closure for a free transverse rectus abdominis myocutaneous flap: macrosurgery's importance in microsurgery.游离腹直肌肌皮瓣的腹部闭合:宏观手术在显微手术中的重要性。
Aesthetic Plast Surg. 2006 Mar-Apr;30(2):253-4. doi: 10.1007/s00266-005-0144-7.