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腹壁成形术与造口重新定位联合应用:解决造口回缩及造口护理问题的成功方法:一项病例研究

Combined abdominoplasty and stoma repositioning: A successful approach for addressing stomal retraction and problematic stoma care: A case study.

作者信息

Buurke P, Bleeker W A, Kemler M A

机构信息

Department of Plastic Surgery Martini Hospital, van Swietenplein 1, Groningen, Groningen 9728NT, the Netherlands.

Department of General Surgery, Wilhelmina Hospital, Europaweg-zuid 1, Assen, Drenthe 9401 RK, the Netherlands.

出版信息

Int J Surg Case Rep. 2023 Sep;110:108763. doi: 10.1016/j.ijscr.2023.108763. Epub 2023 Aug 29.

Abstract

INTRODUCTION

This case report discusses the management of challenging stoma care in an overweight patient, focusing on the successful application of abdominoplasty combined with stoma repositioning. The increasing abdominal mass in overweight patients often leads to stoma retraction and mechanical stress, necessitating innovative and less invasive interventions.

CASE PRESENTATION

The subject is a 40-year-old female with a body mass index of 28.41 kg/m, who was experiencing complications in stoma care due to recent weight gain. Through a collaborative effort between a plastic and a general surgeon, the patient underwent abdominoplasty combined with stoma repositioning, leading to significant improvements in stoma care and cosmetic results.

DISCUSSION

Despite the limited amount of literature on abdominoplasty combined with stoma revision, this case report contributes to the evidence supporting it as an effective alternative for persistent stoma dysfunction in overweight patients. This innovative surgical approach represents a viable solution to address stomal retraction and leakage.

CONCLUSION

The case report underscores the potential benefits of abdominoplasty combined with stoma repositioning in overweight patients with persistent stoma care problems. Although the risk of wound contamination must be taken into account, this combined procedure can enhance patient outcomes. The study provides valuable insights for healthcare professionals managing stoma care in overweight patients.

摘要

引言

本病例报告探讨了一名超重患者复杂造口护理的管理,重点是腹壁成形术联合造口重新定位的成功应用。超重患者腹部肿物不断增大,常导致造口回缩和机械性压力,因此需要创新且侵入性较小的干预措施。

病例介绍

该患者为一名40岁女性,体重指数为28.41kg/m,因近期体重增加,造口护理出现并发症。在整形外科医生和普通外科医生的共同努力下,患者接受了腹壁成形术联合造口重新定位,造口护理和美容效果均有显著改善。

讨论

尽管关于腹壁成形术联合造口修复的文献数量有限,但本病例报告为支持其作为超重患者持续性造口功能障碍的有效替代方案提供了证据。这种创新的手术方法是解决造口回缩和渗漏的可行方案。

结论

该病例报告强调了腹壁成形术联合造口重新定位对存在持续性造口护理问题的超重患者的潜在益处。尽管必须考虑伤口污染的风险,但这种联合手术可以改善患者预后。该研究为管理超重患者造口护理的医护人员提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/10510081/dcd0eff6d70c/gr1.jpg

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