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后路多节段腰椎手术后的伤口闭合:一项解剖学尸体研究及技术说明

Wound Closure After Posterior Multi-level Lumbar Spine Surgery: An Anatomical Cadaver Study and Technical Note.

作者信息

Yilmaz Emre, Tawfik Tamir, O'Lynnger Thomas M, Iwanaga Joe, Blecher Ronen, Abdul-Jabbar Amir, Tubbs R Shane, Schmidt Cameron K, Oskouian Rod J, Chapman Jens

机构信息

Surgery, Swedish Neuroscience Institute, Seattle, USA.

Neurosurgery, Swedish Neuroscience Institute, Seattle, USA.

出版信息

Cureus. 2018 Nov 14;10(11):e3595. doi: 10.7759/cureus.3595.

Abstract

Meticulous attention to wound closure in posterior lumbar spine surgery is an important principle in reducing surgical site infections. We detail standardized wound closure used for posterior lumbar spine surgery at a tertiary care referral center and illustrate this as a step-by-step cadaveric dissection. The lumbar spine of a cadaveric specimen (male, 73 years at death) was used for dissection. Standardizing wound closure in posterior lumbar spine surgery may help limit wound complications and infection. Some key points of our technique, as demonstrated on a cadaveric specimen, include separating fascial compartments, avoiding suture abscesses, and creating a tension-free wound.

摘要

在腰椎后路手术中,对伤口闭合予以细致关注是降低手术部位感染的一项重要原则。我们详细介绍了一家三级医疗转诊中心用于腰椎后路手术的标准化伤口闭合方法,并通过尸体解剖一步步进行说明。使用了一具尸体标本(男性,死亡时73岁)的腰椎进行解剖。标准化腰椎后路手术的伤口闭合可能有助于减少伤口并发症和感染。我们在尸体标本上展示的该技术的一些关键点包括分离筋膜间隙、避免缝线脓肿以及形成无张力伤口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac81/6336212/b6896d767240/cureus-0010-00000003595-i01.jpg

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