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一种用于计划多次剖腹手术中促进临时腹部闭合的毛刺状装置。

A burr-like device to facilitate temporary abdominal closure in planned multiple laparotomies.

作者信息

Wittmann D H, Aprahamian C, Bergstein J M, Edmiston C E, Frantzides C T, Quebbeman E J, Condon R E

机构信息

Department of Surgery, Medical College of Wisconsin, Milwaukee 53226.

出版信息

Eur J Surg. 1993 Feb;159(2):75-9.

PMID:8098630
Abstract

OBJECTIVE

To describe and test a method for temporary closure of the abdomen.

DESIGN

Open laboratory and clinical studies.

SETTING

Department of Surgery, Medical College of Wisconsin, USA.

SUBJECTS

11 patients who underwent planned relaparotomy.

MATERIAL

The burr consists of two adherent sheets of polyamide and polypropylene, which may be trimmed to accommodate any wound. One sheet consists of micro-mushrooms, the second of multiple slings. The two sheets stick to each other upon pressure and can easily be separated to open the wound.

INTERVENTION

Planned relaparotomy or staged abdominal repair.

OUTCOME MEASURES

Measurements of tensile strength and microbiological cultures.

RESULTS

The shearing force required to separate the burr is 150 +/- 27 N/5 cm2 when gas sterilized and 77 +/- 11 N/5 cm2 when used in five subsequent laparotomies. No adverse microbiological effects were seen.

CONCLUSION

The artificial burr can be used for temporary closure of the abdomen. It circumvents the problems that occur with zip fasteners, Marlex mesh, slide fasteners, and towel clips.

摘要

目的

描述并测试一种用于腹部临时闭合的方法。

设计

开放实验室和临床研究。

地点

美国威斯康星医学院外科。

研究对象

11例行计划性再次剖腹手术的患者。

材料

毛刺由两片粘合在一起的聚酰胺和聚丙烯组成,可进行修剪以适应任何伤口。一片由微蘑菇组成,另一片由多个吊索组成。两片在受压时相互粘连,且可轻松分离以打开伤口。

干预措施

计划性再次剖腹手术或分期腹部修复。

观察指标

拉伸强度测量和微生物培养。

结果

气体灭菌后分离毛刺所需的剪切力为150±27 N/5 cm²,在随后的五次剖腹手术中使用时为77±11 N/5 cm²。未观察到不良微生物学影响。

结论

人工毛刺可用于腹部的临时闭合。它避免了拉链、Marlex网片、滑动扣件和毛巾夹所出现的问题。

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