Helmkamp B F
Diagn Gynecol Obstet. 1982 Fall;4(3):211-4.
A 43-year-old female with a Pfannenstiel wound dehiscence complicated by cecal bascule is reported. The etiology of both cecal bascule and dehiscence is discussed. Contributing factors in this case include increased intra-abdominal pressure from the cecal bascule, and a running catgut closure of the anterior rectus sheath. When the diagnosis of cecal bascule is made, cecostomy with cecopexy is the treatment of choice. For prevention of wound disruption, the optimal closure of a Pfannenstiel incision utilizes interrupted nonabsorbable suture material.
报道了一名43岁女性,其耻骨联合上横切口伤口裂开并伴有盲肠 bascule 并发症。讨论了盲肠 bascule 和伤口裂开的病因。该病例的促成因素包括盲肠 bascule 导致的腹内压升高,以及腹直肌前鞘的连续肠线缝合。当诊断为盲肠 bascule 时,盲肠造口术加盲肠固定术是首选治疗方法。为预防伤口裂开,耻骨联合上横切口的最佳缝合方法是使用间断不可吸收缝合材料。