直肠肌肉增强的闭塞在宽间隙外膀
Mir Fahiem-Ul-Hassan1, Vinay Jadhav2, Raashid Hamid1
1Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Begaluru, Karnataka, India.
African journal of paediatric surgery : AJPS
|September 16, 2024
概括
腹直肠片在完全初级修复外 (CPRE) 后显著减少伤口脱光. 这种技术有助于实现膀禁欲,特别是在有广泛的阴茎扩散的情况下.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术重建手术重建的方法
- 膀外缩管理管理 膀外缩管理
背景情况:
- 伤口脱光是一种严重的并发症,在完全初级修复外 (CPRE) 之后.
- 这项研究调查了基于下部上胃动脉的直肠腹膜片在CPRE中用于腹壁关闭的使用.
- 这种方法与骨切除术和术后关节固定术一起使用.
研究的目的:
- 评估直腹膜在预防CPRE后伤口脱落后的有效性.
- 评估片对实现膀失禁的影响.
主要方法:
- 这项比较研究涉及60名从2014年6月至2021年6月接受CPRE的患者.
- 第一个组 (30名患者):CPRE与直肠片修复用于腹壁关闭 (CPRE-RF).
- 第二组 (30名患者):CPRE没有直肠片修复.
主要成果:
- 在CPRE-RF组 (n=30) 中没有发生伤口脱落或膀脱落.
- 相比之下,单独使用CPRE组的6名患者经历了伤口脱落,1名患者出现了膀脱落 (统计学上有显著差异).
- 在CPRE-RF组的4名患者中实现了初级膀保持,而CPRE组的3名患者.
结论:
- 腹直肠板在预防CPRE中伤口脱落方面有效.
- 这种手术技术有助于实现膀失禁的最终目标,特别是在患有广泛阴部扩张的患者中.
相关概念视频
Gross Anatomy of Skeletal Muscles
The connective tissues play a significant role in arranging the muscle fibers into a hierarchical structure that forms a complete muscle. Consider a muscle like the bicep brachii, commonly called the bicep. This muscle comprises thousands of muscle fibers enclosed by a protective layer of connective tissue called the endomysium. The endomysium is primarily composed of reticular fibers, a type of thin collagen fiber. It allows the exchange of nutrients and waste products at the fiber level,...
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The peritoneum is a vital membrane that lines the abdominal cavity and covers most of the organs within it. It plays a crucial role in protecting the organs, providing a smooth surface for their movement, and facilitating various physiological processes. Understanding the anatomy and function of the peritoneum is essential for comprehending the complexities of the abdominal region.
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The peritoneum is divided into two layers: the parietal peritoneum and the visceral...
Anatomy of the Peritoneum
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