使用聚乙醇酸-胶原管重建术中闭孔神经损伤：三例报告
Intraoperative obturator nerve injury reconstructed using a PGA-collagen tube: Three case reports.
作者信息
Iwao Atsuhiko, Yagi Maoko, Imamura Yoshinobu, Higashi Akihito, Moriuchi Yuki, Kashiyama Kazuya, Tanaka Katsumi
机构信息
Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital, Japan.
出版信息
Gynecol Oncol Rep. 2022 Apr 13;41:100977. doi: 10.1016/j.gore.2022.100977. eCollection 2022 Jun.
Abstract
We herein report three cases of obturator nerve injury, which is rare in gynecological surgery. In all cases, it was difficult to suture both nerve ends without tension. Therefore, we used a PGA-collagen tube to interpose the nerve defect. After follow-ups of at least seven months, all three patients were able to adduct the hip joint and medial thigh sensations also improved. These results suggest the potential of a PGA-collagen tube in the treatment of obturator nerve injury.
摘要
我们在此报告三例闭孔神经损伤病例，这在妇科手术中较为罕见。在所有病例中，无张力地缝合神经两端都很困难。因此，我们使用聚乙醇酸-胶原管来桥接神经缺损。经过至少七个月的随访，所有三名患者都能够内收髋关节，大腿内侧的感觉也有所改善。这些结果表明聚乙醇酸-胶原管在治疗闭孔神经损伤方面具有潜力。
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2
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3
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4
A clinical multi-center registry study on digital nerve repair using a biodegradable nerve conduit of PGA with external and internal collagen scaffolding.
Microsurgery. 2019 Jul;39(5):395-399. doi: 10.1002/micr.30417. Epub 2018 Dec 18.
5
Robotic-assisted laparoscopic transection and repair of an obturator nerve during pelvic lymphadenectomy for endometrial cancer.
Obstet Gynecol. 2012 Feb;119(2 Pt 2):462-464. doi: 10.1097/AOG.0b013e31823d0c4f.
6
A prospective randomized study comparing woven polyglycolic acid and autogenous vein conduits for reconstruction of digital nerve gaps.
J Hand Surg Am. 2011 May;36(5):775-81. doi: 10.1016/j.jhsa.2011.01.030. Epub 2011 Apr 12.
7
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J Gastrointest Surg. 2011 Jun;15(6):1035-42. doi: 10.1007/s11605-011-1434-9. Epub 2011 Feb 2.
8
FDA approved guidance conduits and wraps for peripheral nerve injury: a review of materials and efficacy.
Injury. 2012 May;43(5):553-72. doi: 10.1016/j.injury.2010.12.030. Epub 2011 Jan 26.
9
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10
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Urology. 2004 Nov;64(5):1030. doi: 10.1016/j.urology.2004.06.046.
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