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定位腹筋截肢者:一个案例报告

Xavier Field1, Rowan French2

  • 1Department of General Surgery, Taranaki Base Hospital, New Plymouth, New Zealand.

Journal of metabolic and bariatric surgery
|July 8, 2024
PubMed
概括

对于双边膝上截肢的肥胖患者的减肥手术提出了独特的定位挑战. 一种新的反向定位策略Trendelenburg被成功试用,为未来的复杂案例提供了潜在的解决方案.

科学领域:

  • 减肥外科手术是什么意思
  • 肥胖管理 肥胖管理
  • 手术定位手术定位

背景情况:

  • 创伤性下肢截肢与肥胖和代谢疾病有关.
  • 由于定位和人体工程学方面的挑战,肥胖使截肢者的手术程序复杂化.
  • 关于在下肢截肢者中管理肥胖的文献有限.

研究的目的:

  • 评估减肥手术的安全性和可行性,用于双侧膝盖以上截肢和肥胖的患者.
  • 为此类复杂的外科病例开发和试验安全有效的定位策略.

主要方法:

  • 一名64岁的男性患有双侧膝上截肢,肥胖,2型糖尿病和阻塞性睡眠呼吸暂停,被评估为减肥手术.
  • 在手术室进行了手术前定位试验.
  • 患者被放置在反向的位置,使用跨越下胸部和靠近大腿的皮带.

主要成果:

  • 患者成功地被倒置Trendelenburg,证明了可行性.
  • 定位策略采用了穿过下胸部和靠近大腿的皮带.
  • 这种方法解决了对肥胖双侧截肢患者进行手术的工程学和后勤复杂性.

结论:

关键词:
截肢是一种截肢.截肢者是一个截肢者.腹部外科手术 腹部手术代谢综合征是代谢综合征.

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  • 一种新的反向定位策略Trendelenburg对于接受手术的双边膝盖以上截肢的肥胖患者是有效的.
  • 这种技术可以在未来对类似的复杂案例进行复制.
  • 解决截肢人口中的肥胖问题需要创新的手术方法.