Sava P
Clinique Universitaire de Chirurgie Digestive, Centre Hospitalier Régional et Universitaire, Limoges.
J Chir (Paris). 1988 Feb;125(2):127-9.
Delayed perineal healing after rectal amputation is sometimes difficult to resolve. Details are given of a method of transplantation into the residual perineal cavity of one or both gracilis muscles to obtain rapid healing by granulation tissue. Preparatives for the operative are discussed together with the different stages required, particularly preparation of the transplant and its transposition to perineal cavity, and postoperative surveillance outlined. Rapid healing by scar tissue can be obtained by this simple procedure which can also be applied for treatment of vesicovaginal, rectovesical or rectovaginal fistula.
直肠切除术后会阴部延迟愈合有时难以解决。本文详细介绍了一种将一侧或双侧股薄肌移植到残留会阴部腔隙的方法，以通过肉芽组织实现快速愈合。讨论了手术准备工作以及所需的不同阶段，特别是移植物的制备及其转移至会阴部腔隙，并概述了术后监测情况。通过这种简单的手术方法可实现瘢痕组织的快速愈合，该方法也可用于治疗膀胱阴道瘘、直肠膀胱瘘或直肠阴道瘘。
