Ip T Y, Aponte R, Koger K E, German G, Zobrist R, Levin L S
Duke University Medical Center, Durham, NC 27710, USA.
Ann Plast Surg. 1998 Mar;40(3):205-13. doi: 10.1097/00000637-199803000-00002.
The use of minimally invasive surgery continues to evolve in all fields of surgery with new developments in techniques and instrumentation. One instrument that has evolved and become useful in the field of plastic surgery is the balloon dissector. The purpose of this paper is to examine the role of the balloon dissector in minimally invasive aesthetic and reconstructive plastic surgery. We define the concept of the fascial cleft-the loose areolar space between fascial linings. In addition, the balloon dissector and its use is described. The optical cavity created by the balloon dissector device is discussed, along with the two techniques used to maintain the optical cavity, and manual retraction and carbon dioxide insufflation. The application of the balloon dissector in various regions of the body is discussed along with its use in free tissue transfers. Three patients are presented to illustrate the application of the balloon dissector.
随着技术和器械的新发展，微创手术在所有外科领域的应用持续演变。一种在整形外科领域不断发展并变得有用的器械是球囊剥离器。本文的目的是探讨球囊剥离器在微创美容和重建整形外科中的作用。我们定义了筋膜裂的概念——筋膜衬里之间的疏松结缔组织间隙。此外，还描述了球囊剥离器及其使用方法。讨论了球囊剥离器装置所形成的光学腔，以及用于维持光学腔的两种技术，即手动牵开和二氧化碳注入。探讨了球囊剥离器在身体各个部位的应用及其在游离组织移植中的应用。介绍了三名患者以说明球囊剥离器的应用。
