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抽脂术后因残留橡胶异物导致脐部掩埋伴炎症:一例报告

Buried umbilicus with inflammation due to retained rubber foreign body after liposuction: A case report.

作者信息

Kim Jong-Lim, Shin Jin Yong, Roh Si-Gyun, Chang Suk Choo, Lee Nae-Ho

机构信息

Department of Plastic and Reconstructive Surgery, Medical School of Chonbuk National University Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea Division, of Plastic surgery, Department of Surgery, Mayo Clinic, Rochester, MN.

出版信息

Medicine (Baltimore). 2018 Jun;97(25):e10800. doi: 10.1097/MD.0000000000010800.

DOI:10.1097/MD.0000000000010800
PMID:29923971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6023665/
Abstract

INTRODUCTION

Liposuction is one of the most widely performed aesthetic surgeries. It is mainly used for the correction of deep and superficial fat accumulations and remodeling of the body contour.

CASE PRESENTATION

We present a rare case of unusual rubber foreign body found within the periumbilical area during the reconstruction of buried umbilicus after liposuction.A 61-year-old female had undergone a liposuction surgery 10 years ago. Last year, she experienced signs of inflammation around the periumbilical area. The patient was treated with antibiotics and daily dressing at a local clinic. However, her symptoms did not improve with treatment.After admission, we decided to reconstruct the umbilicus and explore the previous operative site. During reconstruction of umbilicus, we finally discovered a rubber foreign body in the periumbilical area and buried umbilicus.

CONCLUSION

Retained surgical foreign body can clinically manifest as acute reaction, such as an inflammatory response, infection, or abscess within days or weeks after the operation. Patients may complain of pain and discomfort, even months or years after the procedure.Our patient had suffered from delayed inflammation due to retained surgical foreign body after liposuction surgery. We emphasize the need for excellent communication within the surgical team to prevent the incidence of retained surgical bodies.

摘要

引言

抽脂术是最广泛开展的美容手术之一。它主要用于矫正深层和浅层脂肪堆积以及重塑身体轮廓。

病例报告

我们报告一例罕见病例,在抽脂术后脐部重建过程中,于脐周区域发现异常橡胶异物。一名61岁女性10年前接受了抽脂手术。去年,她脐周区域出现炎症迹象。患者在当地诊所接受了抗生素治疗及每日换药。然而,治疗后症状并未改善。入院后,我们决定重建脐部并探查先前的手术部位。在脐部重建过程中,我们最终在脐周区域及埋藏的脐部发现了一个橡胶异物。

结论

残留手术异物在临床上可表现为急性反应,如术后数天或数周内出现炎症反应、感染或脓肿。患者可能在术后数月甚至数年诉说疼痛和不适。我们的患者因抽脂术后残留手术异物而出现延迟性炎症。我们强调手术团队内部需要进行良好沟通,以防止残留手术异物的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/65f256e57bb2/medi-97-e10800-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/8e67f4da771d/medi-97-e10800-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/65f256e57bb2/medi-97-e10800-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/8e67f4da771d/medi-97-e10800-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/c360b7120444/medi-97-e10800-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/373a4c209210/medi-97-e10800-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/a042e2a9dfcf/medi-97-e10800-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/6023665/65f256e57bb2/medi-97-e10800-g006.jpg

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