• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

霰弹枪伤所致大腹壁缺损的减张缝合：一例报告

Tension-reduced closure of large abdominal wall defect caused by shotgun wound: A case report.

作者信息

Li Yan, Xing Jia-Hua, Yang Zheng, Xu Yu-Jian, Yin Xiang-Ye, Chi Yuan, Xu Yi-Chi, Han Yu-Di, Chen You-Bai, Han Yan

机构信息

Department of Plastic and Reconstructive Surgery, The First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

Medical School of Chinese People's Liberation Army, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

出版信息

World J Clin Cases. 2022 Oct 16;10(29):10713-10720. doi: 10.12998/wjcc.v10.i29.10713.

DOI:10.12998/wjcc.v10.i29.10713
PMID:36312484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9602223/
Abstract

BACKGROUND

Large abdominal wall defect (LAWD) caused by shotgun wound is rarely reported.

CASE SUMMARY

Herein, we describe a case of LAWD caused by a gunshot wound in which the abdominal wall was reconstructed in stages, including debridement, tension-reduced closure (TRC), and reconstruction with mesh and a free musculocutaneous flap. During a 3-year follow-up, the patient recovered well without hernia or other problems.

CONCLUSION

TRC is a practical approach for the temporary closure of LAWD, particularly in cases when one-stage abdominal wall restoration is unfeasible due to significant comorbidities.

摘要

背景

霰弹枪伤导致的大面积腹壁缺损（LAWD）鲜有报道。

病例摘要

在此，我们描述一例因枪伤导致的LAWD病例，该病例分阶段进行腹壁重建，包括清创、减张缝合（TRC）以及使用补片和游离肌皮瓣进行重建。在3年的随访期间，患者恢复良好，未出现疝气或其他问题。

结论

TRC是临时关闭LAWD的一种实用方法，特别是在因严重合并症而无法进行一期腹壁修复的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/90c773709bc0/WJCC-10-10713-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/60cd648bc4b5/WJCC-10-10713-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/a10f6a459de8/WJCC-10-10713-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/097de37c0793/WJCC-10-10713-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/90c773709bc0/WJCC-10-10713-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/60cd648bc4b5/WJCC-10-10713-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/a10f6a459de8/WJCC-10-10713-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/097de37c0793/WJCC-10-10713-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9015/9602223/90c773709bc0/WJCC-10-10713-g004.jpg

相似文献

1
Tension-reduced closure of large abdominal wall defect caused by shotgun wound: A case report.霰弹枪伤所致大腹壁缺损的减张缝合：一例报告
World J Clin Cases. 2022 Oct 16;10(29):10713-10720. doi: 10.12998/wjcc.v10.i29.10713.
2
Emergency abdominal wall reconstruction with polypropylene mesh: short-term benefits versus long-term complications.聚丙烯网片用于腹壁急诊重建：短期益处与长期并发症
Ann Surg. 1981 Aug;194(2):219-23. doi: 10.1097/00000658-198108000-00017.
3
Reconstructing abdominal wall defects with a free composite tissue flap: A case report.游离复合组织瓣修复腹壁缺损：一例报告
World J Clin Cases. 2021 Mar 6;9(7):1734-1740. doi: 10.12998/wjcc.v9.i7.1734.
4
Staged management of giant abdominal wall defects: acute and long-term results.巨大腹壁缺损的分期管理：急性和长期结果
Ann Surg. 2003 Sep;238(3):349-55; discussion 355-7. doi: 10.1097/01.sla.0000086544.42647.84.
5
Use of double-layer autologous dermal flap in the treatment of recurrent and/or infected incisional hernias: presentation of the surgical technique and the results of 1-year follow-up-a prospective, consecutive cohort study.双层自体真皮瓣在复发性和/或感染性切口疝治疗中的应用：手术技术介绍及1年随访结果——一项前瞻性连续队列研究
Hernia. 2016 Jun;20(3):461-70. doi: 10.1007/s10029-015-1442-x. Epub 2015 Nov 23.
6
Staged approach for abdominal wound closure following combined liver and intestinal transplantation from living donors in pediatric patients.小儿患者活体供体肝肠联合移植术后腹部伤口闭合的分期方法。
Pediatr Transplant. 2009 Mar;13(2):177-81. doi: 10.1111/j.1399-3046.2008.00966.x. Epub 2008 Jun 4.
7
Interposition of the omentum and/or the peritoneum in the emergency repair of large ventral hernias with polypropylene mesh.网膜和/或腹膜在聚丙烯网片急诊修补大型腹壁疝中的应用。
Int J Surg. 2014;12(6):578-86. doi: 10.1016/j.ijsu.2014.04.009. Epub 2014 Apr 30.
8
Using Mesh to Reinforce the Abdominal Wall in Abdominal Free Flaps for Breast Reconstruction: Is There a Benefit? What are the Risks?在腹部游离皮瓣乳房重建中使用补片加强腹壁：有什么益处？风险有哪些？
Ann Plast Surg. 2018 May;80(5S Suppl 5):S295-S298. doi: 10.1097/SAP.0000000000001468.
9
Reconstruction of Large Full-Thickness Abdominal Wall Defects Using a Free Functional Latissimus Dorsi Muscle.使用游离功能性背阔肌重建大面积全层腹壁缺损
Front Surg. 2022 Mar 17;9:853639. doi: 10.3389/fsurg.2022.853639. eCollection 2022.
10
Rives-Stoppa incisional hernia repair combined with laparoscopic separation of abdominal wall components: a novel approach to complex abdominal wall closure.Rives-Stoppa 切口疝修补术联合腹腔镜腹壁分离术：一种复杂腹壁关闭的新方法。
Hernia. 2010 Dec;14(6):561-7. doi: 10.1007/s10029-010-0704-x. Epub 2010 Jul 27.

本文引用的文献

1
Chinese expert consensus on adult ventral abdominal wall defect repair and reconstruction.中国成人腹侧腹壁缺损修复与重建专家共识。
Am J Surg. 2021 Jul;222(1):86-98. doi: 10.1016/j.amjsurg.2020.11.024. Epub 2020 Nov 17.
2
Selective conservative treatment for anterior abdominal gunshot: a literature narrative review.腹部前侧枪伤的选择性保守治疗：文献综述
Rev Col Bras Cir. 2020 Jun 8;47:e20202523. doi: 10.1590/0100-6991e-20202523. eCollection 2020.
3
Tudor military surgery and the management of Sir Martin Frobisher's gunshot wound: Comparison with current treatment.
都铎时期的军事外科学与马丁·弗罗比舍爵士枪伤的处理：与当前治疗方法的比较。
Injury. 2020 Mar;51(3):597-601. doi: 10.1016/j.injury.2020.01.046. Epub 2020 Feb 1.
4
TopClosure® tension-relief system for immediate primary abdominal defect repair in an adult patient with bladder exstrophy.TopClosure®张力缓解系统用于一名患有膀胱外翻的成年患者的原发性腹部缺损即时修复。
J Int Med Res. 2020 Jan;48(1):300060519891266. doi: 10.1177/0300060519891266. Epub 2019 Dec 25.
5
Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy: A rare case report of successful repairing of large-size soft tissue defects.采用负压封闭引流、TopClosure装置及Ilizarov技术联合治疗创伤性半侧骨盆切除术：成功修复大面积软组织缺损的罕见病例报告
Medicine (Baltimore). 2019 Jan;98(4):e14205. doi: 10.1097/MD.0000000000014205.
6
Flap Reconstruction of the Abdominal Wall.腹壁皮瓣重建术。
Semin Plast Surg. 2018 Aug;32(3):133-140. doi: 10.1055/s-0038-1661381. Epub 2018 Jul 24.
7
Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial.成人脐疝的网片与缝线修补：一项随机、双盲、对照、多中心试验。
Lancet. 2018 Mar 3;391(10123):860-869. doi: 10.1016/S0140-6736(18)30298-8. Epub 2018 Feb 17.
8
The Best of Abdominal Wall Reconstruction.腹壁重建的精华
Plast Reconstr Surg. 2018 Jan;141(1):113e-136e. doi: 10.1097/PRS.0000000000003976.
9
Delayed primary closure of extensive wounds using the TopClosure system and topical negative pressure therapy.使用TopClosure系统和局部负压疗法对大面积伤口进行延迟一期缝合。
J Plast Reconstr Aesthet Surg. 2017 Jul;70(7):968-970. doi: 10.1016/j.bjps.2017.04.007. Epub 2017 Apr 22.
10
Role of tissue expansion in abdominal wall reconstruction: A systematic evidence-based review.组织扩张术在腹壁重建中的作用：一项基于证据的系统综述。
J Plast Reconstr Aesthet Surg. 2017 Jun;70(6):741-751. doi: 10.1016/j.bjps.2017.02.018. Epub 2017 Feb 28.