在失败后复杂的胸壁重建:文献综述
Debora Brascia1,2,3, Giuseppe Mangiameli3,4, Giuseppe Marulli3,4
1Thoracic Surgery Unit, Bari University Hospital, Bari, Italy.
Journal of thoracic disease
|August 15, 2024
概括
失败的胸壁重建需要仔细的计划和多学科的团队. 本综述强调了在复杂案件中最初失败后成功重建的原则.
科学领域:
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
- 生物医学工程 生物医学工程
背景情况:
- 由于瘤,感染或创伤引起的胸壁缺陷需要复杂的重建,以获得功能和瘤的结果.
- 初级胸壁重建失败带来了重大挑战,需要专门的重建方法.
- 关于失败重建的现有文献有限,强调需要基于证据的指导.
研究的目的:
- 审查和综合关于失败的胸壁重建程序的文献.
- 为了确定胸壁重建失败的常见原因.
- 突出成功复杂的胸壁重建的基本原则.
主要方法:
- 进行了全面的叙事文献综述.
- 搜索的数据库包括PubMed,Scopus,ScienceDirect和谷歌学者.
- 包括从1970年到现在出版的研究.
主要成果:
- 没有确定的指导方针存在,用于管理由于稀有性而失败的胸壁重建.
- 术前规划和多学科团队的参与对于复杂的病例至关重要.
- 重建策略可能涉及脱bridement,假肢移除,VAC治疗,并使用网格或allografts.
结论:
- 成功重建失败的胸壁手术依赖于仔细的规划和量身定制的手术技术.
- 解决诸如感染和辐射引起的等并发症至关重要.
- 本综述为手术师管理具有挑战性的胸壁重建病例提供了洞察力.
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