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经腹膜后带蒂大网膜瓣修复创伤性骶骨缺损：1例报告

Transretroperitoneal Pedicled Omental Flap for Coverage of Traumatic Sacral Defect: A Case Report.

作者信息

Bruce William J, Olla Danielle R, Feimster James W, Woldanski Lauren M, Hart Kyle D, Reid Adam, Schwartz Bradley, Berry Nada N

机构信息

Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.

Department of Surgery, Division of General Surgery, Southern Illinois University School of Medicine, Springfield, Ill.

出版信息

Plast Reconstr Surg Glob Open. 2022 May 6;10(5):e4298. doi: 10.1097/GOX.0000000000004298. eCollection 2022 May.

DOI:10.1097/GOX.0000000000004298
PMID:35539294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9076443/
Abstract

The greater omentum is a reliable choice for salvage soft-tissue reconstruction. Benefits include consistent anatomy, long pedicle length, and a high concentration of lymphatic tissue that is resistant to infection. We report the case of a 46-year-old man with a complex traumatic sacral wound resulting in severe limitation of reconstructive options. A pedicled greater omentum flap was transposed through the retroperitoneum via the lumbosacral triangle, resulting in durable soft-tissue coverage.

摘要

大网膜是挽救性软组织重建的可靠选择。其优点包括解剖结构恒定、蒂长，以及富含抗感染的淋巴组织。我们报告一例46岁男性，其骶部复杂创伤性伤口导致重建选择严重受限。通过腰三角经腹膜后转移带蒂大网膜瓣，实现了持久的软组织覆盖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/15aa7114c22b/gox-10-e4298-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/f39f47444abe/gox-10-e4298-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/101fbc5e7d79/gox-10-e4298-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/15aa7114c22b/gox-10-e4298-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/f39f47444abe/gox-10-e4298-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/101fbc5e7d79/gox-10-e4298-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba08/9076443/15aa7114c22b/gox-10-e4298-g004.jpg

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本文引用的文献

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Oncoplastic breast reconstruction with omental flap: A retrospective study and systematic review.带网膜瓣的肿瘤整形乳房重建：一项回顾性研究与系统评价。
J Cancer. 2018 Apr 19;9(10):1782-1790. doi: 10.7150/jca.25556. eCollection 2018.
2
Greater Omental Lymph Node Flap for Upper Limb Lymphedema with Lymph Nodes-depleted Patient.大网膜淋巴结瓣用于淋巴结缺失患者的上肢淋巴水肿
Plast Reconstr Surg Glob Open. 2017 Apr 25;5(4):e1288. doi: 10.1097/GOX.0000000000001288. eCollection 2017 Apr.
3
The laparoscopically harvested omentum as a free flap for autologous breast reconstruction.
大网膜瓣在乳房重建及乳房切除术后淋巴水肿治疗中的应用现状研究：聚焦带血管蒂大网膜淋巴结转移术
Life (Basel). 2023 Jun 13;13(6):1380. doi: 10.3390/life13061380.
腹腔镜获取的大网膜作为游离皮瓣用于自体乳房重建。
Microsurgery. 2017 Sep;37(6):539-545. doi: 10.1002/micr.30126. Epub 2016 Oct 26.
4
Omental flaps for coverage of sacral or gluteal defects: a useful and potentially underused tool.用于覆盖骶骨或臀肌缺损的网膜瓣：一种有用但可能未得到充分利用的工具。
Am Surg. 2014 Jul;80(7):e202-4.
5
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Successful free omental flap and skin graft reconstruction of scalp avulsion injury.成功运用游离网膜瓣和皮肤移植修复头皮撕脱伤。
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