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直肠切除术后骶腔的一期愈合——一个可解决的外科问题(作者译)

[Primary healing of the sacral cavity after proctectomy - a solvable surgical problem (author's transl)].

作者信息

Schweiger M, Schellerer W

出版信息

Langenbecks Arch Chir. 1978 Jun 28;346(1):53-7. doi: 10.1007/BF01261770.

DOI:10.1007/BF01261770
PMID:672341
Abstract

Primary healing of the perineal wound and the sacral cavity after a.p. resection of the rectum is an old surgical problem. In order to achieve primary healing we are using a lengthened omental graft to fill up the sacral space. Since January 1977 to July 1977 we used this method in 17 patients. 15 patients had very low rectal cancers. 2 patients had to undergo proctocolectomy because of ulcerative colitis. In 14 cases we achieved primary healing, among these the colitis patients. Overall we had three abscess formations in the sacral cavity. One of these patients got in addition an obstruction postoperatively.

摘要

经腹直肠切除术后会阴伤口和骶腔的一期愈合是一个古老的外科问题。为了实现一期愈合,我们采用延长的网膜移植来填充骶腔。从1977年1月至1977年7月,我们对17例患者使用了这种方法。15例患者患有低位直肠癌。2例患者因溃疡性结肠炎而不得不接受全直肠结肠切除术。在14例患者中实现了一期愈合,其中包括结肠炎患者。总体而言,我们在骶腔出现了3例脓肿形成。这些患者中有1例术后还出现了梗阻。

相似文献

1
[Primary healing of the sacral cavity after proctectomy - a solvable surgical problem (author's transl)].直肠切除术后骶腔的一期愈合——一个可解决的外科问题(作者译)
Langenbecks Arch Chir. 1978 Jun 28;346(1):53-7. doi: 10.1007/BF01261770.
2
Omentoplasty in abdominoperineal resection of the rectum.
Aust N Z J Surg. 1992 Feb;62(2):147-9. doi: 10.1111/j.1445-2197.1992.tb00014.x.
3
Improved management of the perineal wound after proctectomy.直肠切除术后会阴部伤口管理的改进
Ann Surg. 1985 Dec;202(6):760-5. doi: 10.1097/00000658-198512000-00016.
4
Improved perineal wound healing with the omental pedicle graft after rectal excision.直肠切除术后应用带蒂大网膜移植改善会阴部伤口愈合。
Int J Colorectal Dis. 1991 Nov;6(4):193-6. doi: 10.1007/BF00341389.
5
[Gracilis muscle transplant for delayed healing of the perineal wound (author's transl)].
J Chir (Paris). 1979 Aug-Sep;116(8-9):519-20.
6
Perineal wound healing after proctectomy for carcinoma and inflammatory disease.直肠癌和炎症性疾病直肠切除术后会阴部伤口的愈合情况。
Br J Surg. 1980 Apr;67(4):275-6. doi: 10.1002/bjs.1800670415.
7
Management of the perineal wounds following excision of the rectum for malignancy.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Apr;10(4):177-81.
8
Management of the pelvic space after proctectomy.
Br J Surg. 1974 Feb;61(2):94-7. doi: 10.1002/bjs.1800610204.
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[Improvement of perineal wound healing following rectum amputation by omentum flap].[大网膜瓣修复直肠癌根治术后会阴部伤口的疗效观察]
Helv Chir Acta. 1989 Jan;55(5):673-7.
10
Primary closure of the perineal wound in excision of the rectum.直肠切除术中会阴伤口的一期缝合。
Proc R Soc Med. 1970;63 Suppl(Suppl 1):128.

本文引用的文献

1
Surgical technique for omental lengthening based on arterial anatomy.基于动脉解剖的网膜延长手术技术
Surg Gynecol Obstet. 1972 Jul;135(1):103-7.
2
The prevention and treatment of the persistent perineal sinus.持续性会阴窦的防治
Surgery. 1974 Apr;75(4):535-42.
3
[Transposition of the omentum].[大网膜移位]
Chirurg. 1977 Jun;48(6):369-76.