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肠皮肤瘘:重建的难题。

Enterocutaneous fistula: a reconstructive dilemma.

作者信息

Duncan C O, Earley M J, O'Connell P R

机构信息

Department of Plastic, Mater Misericordiae Hospital, Dublin 7.

出版信息

Ir J Med Sci. 1998 Jan-Mar;167(1):9-10. doi: 10.1007/BF02937543.

DOI:10.1007/BF02937543
PMID:9540289
Abstract

Surgical repair of enterocutaneous fistulae in Crohn's disease may result in large skin defects of the anterior abdominal wall. We present a case in which a large defect was managed with reconstruction using a pedicled rectus abdominis myocutaneous flap in a single procedure. The case highlights the technical challenge of such a case and the value of a joint surgical approach between plastic and colorectal services.

摘要

克罗恩病肠皮肤瘘的手术修复可能导致前腹壁出现大面积皮肤缺损。我们报告一例通过单次手术使用带蒂腹直肌肌皮瓣重建来处理大面积缺损的病例。该病例突出了此类病例的技术挑战以及整形科与结直肠科联合手术方法的价值。

相似文献

1
Enterocutaneous fistula: a reconstructive dilemma.肠皮肤瘘:重建的难题。
Ir J Med Sci. 1998 Jan-Mar;167(1):9-10. doi: 10.1007/BF02937543.
2
Intra-abdominal pedicled rectus abdominis muscle flap for treatment of high-output enterocutaneous fistulae: case reports and review of literature.经腹带蒂腹直肌肌皮瓣治疗高流量肠外瘘:病例报告及文献复习。
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3
Enterocutaneous fistula treated with a fasciocutaneous turnover flap.采用筋膜皮瓣翻转术治疗肠皮肤瘘。
Ann Plast Surg. 2002 May;48(5):554-6. doi: 10.1097/00000637-200205000-00019.
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Treatment of intractable enterocutaneous fistula with an island pedicled anterolateral thigh flap in Crohn's disease--case report.克罗恩病岛状带蒂股前外侧皮瓣治疗难愈性肠外瘘一例报告。
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Surgery for enterocutaneous fistulas of Crohn's disease.克罗恩病肠皮肤瘘的外科治疗
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Combined approach with biologics and surgery for enterocutaneous fistulas in Crohn's disease.生物制剂与手术联合治疗克罗恩病肠皮肤瘘
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Combined single-stage enterolysis with pedicle seromuscular bowel flaps, myocutaneous and fasciocutaneous flaps to repair recurrent enterocutaneous fistulas in complex abdominal Wall defects.采用带蒂浆肌层肠瓣、肌皮瓣和筋膜皮瓣联合一期修复术治疗复杂腹壁缺损的肠外瘘复发
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Use of the rectus abdominis muscle flap for repair of enterocutaneous fistulae: a case series.腹直肌肌皮瓣用于肠皮肤瘘修复:病例系列
J Trauma. 2011 Mar;70(3):622-5. doi: 10.1097/TA.0b013e31820ea1c5.

引用本文的文献

1
Treatment of foregut fistula with biologic plugs.生物封堵剂治疗前肠瘘
Surg Endosc. 2015 Jul;29(7):2006-12. doi: 10.1007/s00464-014-3903-1. Epub 2014 Nov 27.

本文引用的文献

1
The rectus abdominis muscle and the epigastric arteries.腹直肌和腹壁上动脉。
Surg Gynecol Obstet. 1960 Mar;110:293-302.
2
Incidence, diagnosis, and treatment of enteric and colorectal fistulae in patients with Crohn's disease.克罗恩病患者肠道及结直肠瘘的发病率、诊断与治疗
Ann Surg. 1993 Nov;218(5):660-6. doi: 10.1097/00000658-199321850-00012.
3
Use of groin flap and anterolateral thigh adipofascial flap of tensor fascia lata for reconstruction of a wide lower abdominal wall defect.采用腹股沟皮瓣和阔筋膜张肌股前外侧脂肪筋膜瓣修复下腹部大面积缺损。
Ann Plast Surg. 1995 Sep;35(3):320-1. doi: 10.1097/00000637-199509000-00018.
4
The versatile deep inferior epigastric (inferior rectus abdominis) flap.多功能腹壁下动脉(腹直肌下)皮瓣。
Br J Plast Surg. 1984 Jul;37(3):330-50. doi: 10.1016/0007-1226(84)90076-6.
5
Closure of postproctectomy perineal sinus with gracilis muscle flaps.用股薄肌瓣封闭直肠切除术后会阴窦
Can J Surg. 1987 May;30(3):212-4.
6
Intravenous nutritional support and the surgeon: where next?静脉营养支持与外科医生:何去何从?
Ir J Med Sci. 1992 Jun;161(6):401-3. doi: 10.1007/BF02996202.
7
Repairs in the lower abdomen, groin, or perineum with myocutaneous or omental flaps.采用肌皮瓣或网膜瓣修复下腹部、腹股沟或会阴部位。
Plast Reconstr Surg. 1979 Feb;63(2):186-94. doi: 10.1097/00006534-197902000-00006.