垂直腹直肌肌皮瓣在阴道脱垂中的应用。
The Vertical Rectus Abdominis Myocutaneous Flap to Manage Vaginal Evisceration.
机构信息
Department of Colorectal Surgery, Princess Alexandra Hospital, Woolloongabba, Australia.
Department of Plastics and Reconstructive Surgery, Princess Alexandra Hospital, Woolloongabba, Australia.
出版信息
J Obstet Gynaecol Can. 2022 Apr;44(4):395-397. doi: 10.1016/j.jogc.2021.11.006. Epub 2021 Nov 25.
BACKGROUND
Pelvic organ prolapse (POP) is a significant issue requiring surgical correction in 19% of the female population by age 85 years. Complications of POP, especially in women who have undergone hysterectomy, include vaginal evisceration-a serious complication that carries high morbidity and mortality rates. Rarely, vaginal evisceration occurs after colpocleisis.
CASE
A 69-year-old female with recurrent vaginal evisceration following colpocleisis underwent surgical repair using a vertical rectus abdominis myocutaneous (VRAM) flap.
CONCLUSION
Recurrent cases of POP and vaginal evisceration that are refractory to conventional treatment require consideration of novel management options. To our knowledge, this is the first case using a VRAM flap for the management of vaginal evisceration.
背景
盆腔器官脱垂（POP）是一个严重的问题，19%的女性人群在 85 岁时需要手术矫正。POP 的并发症，特别是在已经接受子宫切除术的女性中，包括阴道脱出——一种严重的并发症，具有较高的发病率和死亡率。很少见的是，阴道脱出发生在阴道封闭术之后。
病例
一位 69 岁的女性，在接受阴道封闭术之后出现反复发作的阴道脱出，接受了使用垂直腹直肌肌皮瓣（VRAM）的手术修复。
结论
对于常规治疗无效的复发性 POP 和阴道脱出病例，需要考虑新的治疗方法。据我们所知，这是首例使用 VRAM 皮瓣治疗阴道脱出的病例。
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