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使用戈尔泰克斯补片和里夫斯-斯托帕法进行连续腹部闭合术治疗烧伤后腹腔内高压继发的开放性腹部。

Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns.

作者信息

Shanmugakrishnan R Raja, Loh Charles Yuen Yung, Wakure Abhijeet, El-Muttardi Naguib

机构信息

St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK.

出版信息

Indian J Plast Surg. 2018 Sep-Dec;51(3):324-326. doi: 10.4103/ijps.IJPS_75_18.

DOI:10.4103/ijps.IJPS_75_18
PMID:30983735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6440362/
Abstract

Intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel oedema. We describe our technique of closing the open abdomen in such situations with a combination of serial abdominal wall closure with a layered mesh and the Rives-Stoppa component separation technique.

摘要

腹腔内高压（IAH）导致腹腔间隔室综合征（ACS）常见于大面积烧伤。为缓解过高压力，需进行减压剖腹术，这会导致开放性腹腔。减压剖腹术后，由于肠水肿，关闭腹腔非常困难。我们描述了在这种情况下关闭开放性腹腔的技术，即采用连续腹壁关闭结合分层网片和里夫斯 - 斯托帕成分分离技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacb/6440362/e9beb677e306/IJPS-51-324-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacb/6440362/57d72251d2a8/IJPS-51-324-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacb/6440362/e9beb677e306/IJPS-51-324-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacb/6440362/57d72251d2a8/IJPS-51-324-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacb/6440362/e9beb677e306/IJPS-51-324-g002.jpg

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本文引用的文献

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The open abdomen in trauma and non-trauma patients: WSES guidelines.创伤和非创伤患者的开放性腹部：WSES 指南。
World J Emerg Surg. 2018 Feb 2;13:7. doi: 10.1186/s13017-018-0167-4. eCollection 2018.
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Rives technique is the gold stardard for incisional hernioplasty. An institutional experience.里夫斯技术是切口疝修补术的金标准。一项机构经验。
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Abdominal compartment syndrome - Intra-abdominal hypertension: Defining, diagnosing, and managing.腹腔间隔室综合征-腹腔内高压：定义、诊断与管理
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Temporary closure of the open abdomen: a systematic review on delayed primary fascial closure in patients with an open abdomen.开放性腹部的临时关闭：关于开放性腹部患者延迟一期筋膜关闭的系统评价
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Early definitive abdominal closure using serial closure technique on injured soldiers returning from Afghanistan and Iraq.对从阿富汗和伊拉克返回的受伤士兵采用连续缝合技术进行早期确定性腹部闭合术。
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