病例系列:瘤患者缓解巨型腹,用肉毒素和分离组分治疗
Luis Muñoz-Andrade1,2, Francisco Nevárez2, Sandra Chalén3
1Department of Oncology Surgery, National Oncology Institute SOLCA Guayaquil, Guayaquil, 090505, Ecuador.
Journal of surgical case reports
|January 29, 2026
概括
手术前的肉毒毒素有助于癌症幸存者的巨型腹腔修复. 这种安全的技术有助于腹壁的关闭,改善结果,减少了广泛的手术的需要.
科学领域:
- 手术瘤学手术瘤学
- 腹壁的重建 腹壁的重建
- 胃肠病学 胃肠病学
背景情况:
- 巨型腹腔带来了重大的外科手术挑战,特别是在有大缺陷的瘤患者中.
- 在这些患者中,域的丧失使腹壁的关闭复杂化.
- 毒素被探索为化学腹壁放松的辅助剂.
研究的目的:
- 评估手术前的肉毒毒素在患有巨型腹的瘤患者的疗效和安全性.
- 评估在注射肉毒素后将组件分离与回肌网放置的可行性.
- 为了确定对 Fascial 关闭和术后结果的影响.
主要方法:
- 治疗了四名患有巨型腹的癌症患者,这些患者正在缓解.
- 在手术前给出了肉毒毒素来放松腹壁.
- 用回肌聚烯网进行组件分离技术用于修复.
主要成果:
- 所有手术均完成,没有出现手术内并发症.
- 没有观察到的早期复发.
- 实现了无张力关闭,并取得了良好的术后结果.
结论:
- 手术前的肉毒毒素是瘤患者巨型腹修复的有用和安全的辅助剂.
- 该技术有助于面部接近和关闭.
- 它有可能减少对更具侵入性的外科手术程序的需求.
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