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一种用于识别和切除腹直肌筋膜吊带术后持续性窦道的新方法:病例报告。

A novel approach to identification and excision of a persistent sinus tract following a rectus fascial sling: A case report.

作者信息

Winkelman William D, Sasson Jacques P, Elkadry Eman

机构信息

Department of Obstetrics and Gynecology, Mount Auburn Hospital, 330 Mount Auburn Street, Cambridge, MA, United States of America.

Department of Obstetrics, Gynecology & Reproductive Medicine, Harvard Medical School, 25 Shattuck Street, Boston, MA, United States of America.

出版信息

Case Rep Womens Health. 2021 Jun 10;31:e00333. doi: 10.1016/j.crwh.2021.e00333. eCollection 2021 Jul.

Abstract

BACKGROUND

While Gore-Tex® sutures have excellent handling and cause minimal fibroblast activity and a less inflammatory response compared with other materials, they carry a risk of persistent sinus tract formation.

CASE

A patient underwent an autologous rectus fascial sling using Gore-Tex® and we describe a novel technique for identification and excision of the sinus tract.

CONCLUSION

Preoperative imaging and staining of the sinus tract with methylene blue can aid in successful identification of the tract during surgery and may improve rates of successful treatment.

摘要

背景

虽然戈尔特斯(Gore-Tex®)缝线操作性能出色,与其他材料相比,引起的成纤维细胞活性最低,炎症反应也较小,但它们存在形成持续性窦道的风险。

病例

一名患者接受了使用戈尔特斯(Gore-Tex®)的自体腹直肌筋膜吊带手术,我们描述了一种识别和切除窦道的新技术。

结论

术前使用亚甲蓝对窦道进行成像和染色有助于在手术中成功识别窦道,并可能提高成功治疗率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a6e/8209167/ed0d05974200/gr1.jpg

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