在后部部件的腹壁上的定量张力与横腹部的分离释放腹部的释放
Benjamin T Miller1, Ryan C Ellis1, Clayton C Petro1
1Department of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, Cleveland, Ohio.
JAMA surgery
|October 4, 2023
概括
后部件分离 (PCS) 可以减少腹壁的张力. 逆直肠剖析降低了前面的形张力,而后面的叶片分裂和横向腹肌释放 (TAR) 降低了后面的形张力,以修复腹.
科学领域:
- 腹壁的重建 腹壁的重建
- 手术技术手术技术的使用.
- Hernia 修复 Hernia 修复 的方法
背景情况:
- 后部件分离 (PCS) 是用于腹修复的关键肌释放技术.
- 每个PCS步骤对 Fascial张力变化的具体贡献仍然没有量化.
研究的目的:
- 在PCS过程中量化评估前和后面张力变化.
- 在腹壁重建期间为手术决策提供信息.
主要方法:
- 一个由100名成年患者组成的病例系列,这些患者正在使用PCS进行腹腔修复.
- 一个张力计测量了 retrorectus 剖析,后侧叶片分裂和横腹肌释放 (TAR) 后的面膜张力变化.
主要成果:
- 完整的PCS显著降低了前部 (-53.27%) 和后部 (-98.47%) 的紧张.
- 逆直肠剖析主要降低了前面的张力;后面的叶片分裂和TAR降低了后面的张力.
结论:
- 逆直肠剖析有利于前面的形前进.
- 后面的叶片分裂和TAR对于腹部 Hernia 修复的后面的形前进至关重要.
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