Wittmann D H, Aprahamian C, Bergstein J M, Edmiston C E, Frantzides C T, Quebbeman E J, Condon R E
Department of Surgery, Medical College of Wisconsin, Milwaukee 53226.
Eur J Surg. 1993 Feb;159(2):75-9.
To describe and test a method for temporary closure of the abdomen.
Open laboratory and clinical studies.
Department of Surgery, Medical College of Wisconsin, USA.
11 patients who underwent planned relaparotomy.
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.
Planned relaparotomy or staged abdominal repair.
Measurements of tensile strength and microbiological cultures.
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.
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.
描述并测试一种用于腹部临时闭合的方法。
开放实验室和临床研究。
美国威斯康星医学院外科。
11例行计划性再次剖腹手术的患者。
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。
计划性再次剖腹手术或分期腹部修复。
拉伸强度测量和微生物培养。
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。
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。