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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.

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/ca0447c610eb/medi-97-e9993-g001.jpg

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