相关实验视频

Updated: Sep 15, 2025

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

在开放CDH修复后婴儿的手术后侧侧凸起:一个未被报道的并发症

Mikal Obed¹, Jens Dingemann¹, Benno Ure¹

¹Department of Pediatric Surgery, Hannover Medical School, Hannover, Germany.

European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie

|July 17, 2025

概括

侧侧凸起,在开放的先天性隔膜修复后的罕见并发症,发生在11%的婴儿中. 它与肋骨和高出生体重有关,有些病例自发地消失.

科学领域:

儿科手术儿科手术
手术并发症手术并发症
腹壁的重建腹壁的重建

背景情况:

侧侧凸起 (FB) 是一种罕见的术后并发症,通常是在经过带有后膜通道的手术后出现的.
据推测的原因是肋间神经T11/T12的阳性损伤.
生产腹膜 (CDH) 修复涉及切割和在这个胸部水平,构成潜在的风险 FB.

研究的目的:

评估先天性隔膜 (CDH) 修复后婴儿侧侧凸 (FB) 的风险.
为了确定与CDH修复后的FB发展相关的外科变量.
评估一系列连续的CDH患者中FB的发病率和特征.

主要方法:

从2007-2024年对患者病历进行回顾性分析,随访时间≥3个月.
基于临床检查的FB诊断,定义为腹壁突起,没有的超声波证据.
统计分析包括Pearson和Student的t测试,以及多变量逻辑回归来识别风险因素.

主要成果:

在接受CDH修复的67名婴儿中,11%的婴儿患有术后侧侧 (FB).
FB仅发生在用贴片进行开放修复后,并且与肋骨和高出生体重有显著的关联.
三分之一的FB病例自发解决;其余的持续没有功能障碍.

结论:

侧侧凸起可能是开放CDH修复后的低估并发症.
建议在CDH修复后的随访期间定期评估腹壁色调.
需要进一步的研究来澄清FB的临床影响,患者残疾和长期后果.

更多相关视频

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

Published on: July 25, 2025

相关概念视频

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...