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用于体壁重建的缝匠肌肌瓣:手术技术描述及回顾性病例系列

Sartorius muscle flap for body wall reconstruction: Surgical technique description and retrospective case series.

作者信息

Mejia Sebastian, Boston Sarah E, Skinner Owen T

机构信息

Colorado State University College of Veterinary Medicine and Biomedical Sciences, Fort Collins, Colorado 80523-1678, USA (Mejia); VCA Canada 404 Veterinary Emergency & Referral Hospital, Surgical Oncology, Newmarket, Ontario L3Y 0B3 (Boston); University of Missouri Veterinary Health Center, Surgical Oncology, Columbia, Missouri (Skinner).

出版信息

Can Vet J. 2018 Nov;59(11):1187-1194.

Abstract

The objectives of this study were to describe the sartorius muscle flap for body wall reconstruction, including description of the anatomy and surgical technique and to report its clinical application for abdominal wall reconstruction in dogs and cats. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. Inclusion criteria were cats or dogs that had a tumor resection resulting in an abdominal wall defect that was reconstructed using an ipsilateral or contralateral sartorius muscle flap. Signalment, pre-operative clinical signs, location and tumor extent, diagnostic imaging and clinical pathology findings, surgical methods, and complications were recorded. Abdominal wall defect reconstructions using the sartorius muscle flap were successfully performed in all 5 patients with good return to function. All complications were minor and were successfully medically managed. This case series demonstrates that the sartorius muscle flap is a feasible option for the closure of large caudal abdominal wall defects.

摘要

本研究的目的是描述用于体壁重建的缝匠肌皮瓣,包括解剖结构和手术技术的描述,并报告其在犬猫腹壁重建中的临床应用。该描述性报告涉及2只犬和3只猫的回顾性病例系列。纳入标准为因肿瘤切除导致腹壁缺损并使用同侧或对侧缝匠肌皮瓣进行重建的猫或犬。记录动物特征、术前临床体征、肿瘤位置和范围、诊断性影像学检查和临床病理学检查结果、手术方法及并发症。所有5例患者均成功使用缝匠肌皮瓣进行了腹壁缺损重建,功能恢复良好。所有并发症均较轻微,通过药物治疗成功处理。该病例系列表明,缝匠肌皮瓣是闭合大的尾侧腹壁缺损的可行选择。

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