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盆腔手术后腹壁皮下复发血清肿的处理。

Management of abdominal wall recurrent subfascial seroma after pelvic surgery.

机构信息

Department of Biomedical Sciences and Human Oncology, Division of Gynecology and Obstetrics, University of Bari 'Aldo Moro', Bari, Italy.

出版信息

Acta Biomed. 2020 Jun 10;91(4):e2020092. doi: 10.23750/abm.v91i4.9024.

Abstract

Seroma is a serous fluid collection that accumulates in dead spaces, where tissue was attached to something before surgery. Abdominal seroma formation is a quite common complication after breast reconstruction with abdominal's flaps or after an abdominoplasty procedure.The most frequently used method for decreasing early seroma frequency are the use of closed suction drains, ultrasonic dissection and sharp dissection, use of fibrine, and use of clip or ligation of vessels during the sur-gery. The management strategies consist of non-operative management, percutaneous drainage, or surgical drainage. With this paper we report a case of a subfascial seroma of the abdominal wall oc-curred in a 41 years old patient after laparotomy surgery for a voluminous pelvic serocele.

摘要

血清肿是一种浆液性液体的积聚,发生在组织在手术前附着于某个部位的死腔中。腹部血清肿的形成是乳房重建术后采用腹部皮瓣或腹部整形手术后一种相当常见的并发症。减少早期血清肿发生率最常用的方法是使用密闭式负压引流、超声分离和锐性分离、纤维蛋白的使用,以及在手术过程中使用夹或结扎血管。管理策略包括非手术治疗、经皮引流或手术引流。通过本文,我们报告了 1 例 41 岁女性患者,因巨大盆腔浆液性囊瘤行剖腹手术后发生腹壁筋膜下血清肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/234c7ac2c058/ACTA-91-92-g001.jpg

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