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开放性腹部处理中的“三明治技术”

The 'sandwich technique' in the management of the open abdomen.

作者信息

Schein M, Saadia R, Jamieson J R, Decker G A

出版信息

Br J Surg. 1986 May;73(5):369-70. doi: 10.1002/bjs.1800730514.

DOI:10.1002/bjs.1800730514
PMID:3708284
Abstract

A management technique of the open abdominal wound is described. It consists of a 'sandwich' composed of a Marlex mesh and an Op-Site wound dressing with interposition of suction tubes. Such a technique prevents evisceration, protects the skin, decreases evaporation, allows accurate fluid replacement, facilitates nursing and adds to the patient's comfort.

摘要

本文描述了一种开放性腹部伤口的管理技术。它由一个“三明治”结构组成,即由一块Marlex网片和一块Opsite伤口敷料夹着吸引管构成。这种技术可防止内脏脱出,保护皮肤,减少蒸发,便于精确补液,利于护理并增加患者舒适度。

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1
The 'sandwich technique' in the management of the open abdomen.开放性腹部处理中的“三明治技术”
Br J Surg. 1986 May;73(5):369-70. doi: 10.1002/bjs.1800730514.
2
The open abdomen. The Marlex mesh and zipper technique: a method of managing intraperitoneal infection.
Surg Clin North Am. 1988 Feb;68(1):25-40. doi: 10.1016/s0039-6109(16)44430-0.
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The septic abdomen: open management with Marlex mesh with a zipper.感染性腹部:使用带拉链的Marlex网片进行开放治疗。
Surgery. 1986 Apr;99(4):399-408.
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Immediate closure of the open abdomen with bilateral bipedicle anterior abdominal skin flaps and subsequent retrorectus prosthetic mesh repair of the late giant ventral hernias.采用双侧双蒂前腹壁皮瓣立即关闭开放性腹部,并随后对晚期巨大腹侧疝进行腹直肌后补片修补。
J Trauma. 2003 Jun;54(6):1083-9. doi: 10.1097/01.TA.0000062971.22197.98.
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A prospective, randomized trial of abdominal wound drainage in gastric bypass surgery.胃旁路手术中腹部伤口引流的前瞻性随机试验。
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Abdominal sepsis managed by leaving abdomen open.通过敞开腹部治疗腹部脓毒症。
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Greater Success of Primary Fascial Closure of the Open Abdomen: A Retrospective Study Analyzing Applied Surgical Techniques, Success of Fascial Closure, and Variables Affecting the Results.开放性腹部初次筋膜关闭术的更高成功率:一项分析应用手术技术、筋膜关闭成功率及影响结果变量的回顾性研究
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The open management of the septic abdomen.感染性腹部的开放性管理。
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Successful pregnancy and normal delivery with Marlex mesh replacement of the abdominal wall.采用Marlex网片置换腹壁实现成功妊娠及正常分娩。
Am J Obstet Gynecol. 1990 Jan;162(1):97-8. doi: 10.1016/0002-9378(90)90829-v.

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Simultaneous early surgical repair of post-cholecystectomy major bile duct injury and complex abdominal evisceration: A case report.胆囊切除术后主要胆管损伤与复杂腹部脏器外露的同期早期手术修复:1例病例报告
Int J Surg Case Rep. 2022 May;94:107110. doi: 10.1016/j.ijscr.2022.107110. Epub 2022 Apr 21.
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Delayed Closure of Open Abdomen in Septic Patients Treated With Negative Pressure Vacuum Therapy and Dynamic Sutures: A 10-Years Follow-Up on Long-Term Complications.负压真空疗法和动态缝合治疗脓毒症患者开放性腹部的延迟关闭:10年长期并发症随访
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The Need for Emergency Laparotomy With Open Abdomen Therapy in the Course of ECMO-A Retrospective Analysis of Course and Outcome.
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G Chir. 2017 Nov-Dec;38(6):267-272. doi: 10.11138/gchir/2017.38.6.267.
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Vacuum-Assisted Wound Closure with Mesh-Mediated Fascial Traction Achieves Better Outcomes than Vacuum-Assisted Wound Closure Alone: A Comparative Study.网片介导筋膜牵张的真空辅助伤口闭合优于单纯真空辅助伤口闭合:一项比较研究。
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World J Emerg Surg. 2015 Aug 12;10:35. doi: 10.1186/s13017-015-0032-7. eCollection 2015.
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