复杂的形创伤性腹壁:来自高体积腹部核心卫生中心的经验
Sergio Mazzola Poli de Figueiredo1, Sara M Maskal2, Ryan C Ellis2
1Department of Surgery, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.
这项研究表明,创伤性侧侧腹壁的选择性开放修复是安全有效的. 复杂的腹壁重建具有较低的复发率,为这些罕见的伤害提供了解决方案.
科学领域:
- 腹部外科手术 腹部外科手术
- 创伤外科手术是什么
- 椎间盘修复 修复椎间盘
背景情况:
- 创伤性腹壁是罕见的,通常涉及由于剪裁伤害而造成的侧侧肌肉.
- 现有的文献缺乏关于修复这些复杂的详细信息.
研究的目的:
- 报告一个高体积的经验,最终修复慢性创伤侧腹壁的经验.
- 评估这些损伤的选择性开放复杂腹壁重建的安全性和结果.
主要方法:
- 从2015年1月到2023年8月,对43名患有创伤性侧腹壁的患者进行了回顾性审查.
- 包括患有形创伤病因的患者,提取的特征,手术技术和结果.
- 通过手动查看图表来补充数据库信息,以获得全面的数据.
主要成果:
- 创伤后的中位数修复时间为3年;41.9%的人患有复发性,79.1%的人患有腰部 (L4) 干扰.
- 腹部横向释放 (88.4%) 和聚烯网 (74.5%) 是常见的; 7% 经历了手术部位的发生.
- 在1.9年的随访后,7%的人出现了的复发;一个需要重新手术,另一个由于感染而需要切除网格.
结论:
- 选择性开放复杂的腹壁重建是创伤性侧侧腹壁的安全程序.
- 这种方法与大量患者系列中的低发病率和的复发率有关.
- 终极修复为复杂的创伤后腹壁缺陷提供了可行的解决方案.
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