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复杂腹壁中同步剖宫产及感染的腹直肌前鞘修补补片翻修术

Synchronous cesarean delivery and revision of infected ventral hernia repair mesh in a complex abdominal wall.

作者信息

Bender Tiffany, Owen Parker, Johnson Kristopher, Sorrell Matthew, Rodel Rachel

机构信息

University of South Dakota Sanford School of Medicine, Sioux Falls, SD 57105, United States.

Department of General Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, SD 57105, United States.

出版信息

J Surg Case Rep. 2024 Sep 26;2024(9):rjae151. doi: 10.1093/jscr/rjae151. eCollection 2024 Sep.

DOI:10.1093/jscr/rjae151
PMID:39329008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11427119/
Abstract

Ventral hernias are a common abdominal wall defect vulnerable to the gravid abdomen's physiological changes. This case report describes a 38-year-old gravida 3 para 2002 female with a complex abdominal surgical history and a chronic infection of the abdominal wall at the site of prior hernia repair with mesh. She was managed conservatively with antibiotics until delivery. Abdominal wall debridement and repair was coordinated with her 39-week cesarean, which allowed for a successful delivery of her infant paralleled with surgical management of the infected mesh.

摘要

腹疝是一种常见的腹壁缺损，易受妊娠腹部生理变化的影响。本病例报告描述了一名38岁、孕3产2（2002）的女性，有复杂的腹部手术史，在先前使用补片进行疝修补的部位存在腹壁慢性感染。在分娩前，她接受了抗生素保守治疗。腹壁清创和修复与她的39周剖宫产手术同时进行，这使得她成功分娩婴儿，同时对感染的补片进行了手术处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d24/11427119/77e5cb04de5d/rjae151f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d24/11427119/f3e2c383fba7/rjae151f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d24/11427119/77e5cb04de5d/rjae151f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d24/11427119/f3e2c383fba7/rjae151f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d24/11427119/77e5cb04de5d/rjae151f2.jpg

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本文引用的文献

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Ventral Hernia Repair and Drainage - A Prospective, Observational, and Comparative Study of Outcomes.腹疝修补和引流术——一种前瞻性、观察性和结果比较研究。
Chirurgia (Bucur). 2023 Aug;118(4):426-434. doi: 10.21614/chirurgia.2023.v.118.i.4.p.426.
2
An obstetrician-gynecologist's review of hernias: risk factors, diagnosis, prevention, and repair.妇产科医生对疝的综述：危险因素、诊断、预防和修复。
Am J Obstet Gynecol. 2023 Sep;229(3):214-221. doi: 10.1016/j.ajog.2023.04.024. Epub 2023 Apr 27.
3
Ventral Hernia in the Al-Ahsa Region, Saudi Arabia: Risk Factor Knowledge Assessment.
沙特阿拉伯艾哈萨地区的腹疝：风险因素知识评估
Cureus. 2022 Dec 16;14(12):e32581. doi: 10.7759/cureus.32581. eCollection 2022 Dec.
4
Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis.识别腹疝复发的预测因素：系统评价和荟萃分析。
BJS Open. 2021 Mar 5;5(2). doi: 10.1093/bjsopen/zraa071.
5
Surgical site infection in mesh repair for ventral hernia in contaminated field: A systematic review and meta-analysis.污染区域腹疝补片修补术的手术部位感染：一项系统评价和荟萃分析。
Ann Med Surg (Lond). 2021 Feb 12;63:102173. doi: 10.1016/j.amsu.2021.02.019. eCollection 2021 Mar.
6
How to Treat Hernias in Pregnant Women?如何治疗孕妇疝气？
Cureus. 2020 Jul 2;12(7):e8959. doi: 10.7759/cureus.8959.
7
Ventral hernia and pregnancy: A systematic review.腹壁疝与妊娠：系统综述。
Am J Surg. 2019 Jan;217(1):163-168. doi: 10.1016/j.amjsurg.2018.04.016. Epub 2018 May 3.
8
Epidemiology and Disparities in Care: The Impact of Socioeconomic Status, Gender, and Race on the Presentation, Management, and Outcomes of Patients Undergoing Ventral Hernia Repair.流行病学与护理差异：社会经济地位、性别和种族对行腹疝修补术患者的表现、治疗和结局的影响。
Surg Clin North Am. 2018 Jun;98(3):431-440. doi: 10.1016/j.suc.2018.02.003. Epub 2018 Mar 21.
9
International guidelines for groin hernia management.腹股沟疝治疗的国际指南。
Hernia. 2018 Feb;22(1):1-165. doi: 10.1007/s10029-017-1668-x. Epub 2018 Jan 12.
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