Yokoyama H, Maida K, Takahashi S, Tanaka S
Department of Cardiovascular Surgery, Aomori Prefectural Central Hospital, Japan.
Cardiovasc Surg. 1994 Feb;2(1):78-80.
A new omental transposition technique was applied to a patient who underwent resection and in situ reconstruction of purulently infected abdominal aortic aneurysm to prevent recurrent retroperitoneal and graft infection. After wide separation from the transverse colon, the omental pedicle was transposed to the infrarenal retroperitoneal space through an opening of the transverse mesocolon to wrap the prosthetic graft and fill the infected space. The postoperative course was uneventful without any sign of recurrent infection in follow-up lasting 8 months. The authors' experience suggest that this 'transmesocolic' technique is an effective modality for critically ill patients with infected abdominal aorta.
一种新的网膜移位技术应用于一名接受了化脓性感染腹主动脉瘤切除及原位重建的患者，以预防复发性腹膜后和移植物感染。在与横结肠广泛分离后，将网膜蒂通过横结肠系膜的一个开口移位至肾下腹膜后间隙，以包裹人工血管移植物并填充感染腔隙。术后过程顺利，在长达8个月的随访中无任何复发性感染迹象。作者的经验表明，这种“经结肠系膜”技术对于患有感染性腹主动脉的危重病患者是一种有效的治疗方式。
