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相關文獻
- The Application of Both Components Separation and Multiple Partitioning for the Reconstruction of a Large Abdominal Fascia Defect as a Sequela of Exploratory Laparotomy after Abdominal Trauma: A Case Report and Review of Literature
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題 名 | The Application of Both Components Separation and Multiple Partitioning for the Reconstruction of a Large Abdominal Fascia Defect as a Sequela of Exploratory Laparotomy after Abdominal Trauma: A Case Report and Review of Literature=合併筋膜組成分離及多重切開的方法重建腹部外傷接受剖腹探查術後所造成的大範圍腹部筋膜缺損:一個病例報告及文獻回顧 |
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作 者 | 陳信翰; 吳肇毅; 許永昌; 鄭旭棠; 周爾康; 張家寧; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 19:2 2010.06[民99.06] |
頁 次 | 頁138-144 |
分類號 | 416.14 |
關鍵詞 | 腹部外傷; 腹部筋膜缺損; 筋膜組成分離; 多重切開; Abdominal fascia; Components separation; Partitioning; Abdominal defect; |
語 文 | 英文(English) |
中文摘要 | 背景: 關閉腹部外傷後造成的大面積腹部筋膜缺損時常需要筋膜組成分離的方法。我們遇到一位病患其右側腹外斜肌及腹內斜肌嚴重沾黏所以無法做完全的筋膜組成分離手術,因此合併使用筋膜組成分離及多重切開的方法重建腹部外傷接受剖腹探查術後所造成的大範圍腹部筋膜缺損。 目的及目標 這樣的方法可以讓腹外斜肌及腹內斜肌嚴重沾黏時還能移動筋膜,讓腹部筋膜缺損可以在沒有張力的情況下縫合。 材料及方法: 一位男性病患因為車禍接受剖腹探查手術後造成腹部筋膜缺損,合併使用筋膜組成分離及多重切開的方法重建腹部筋膜缺損。 結果: 經過八個月的追蹤,病人傷口癒合良好。術後的電腦斷層也顯示筋膜已經癒合,病人本身也沒有疝氣復發的臨床表現且進食及腸胃道功能正常。 結論: 當有腹外斜肌及腹內斜肌嚴重沾黏無法做完全的筋膜組成分離手術時,合併筋膜組成分離及多重切開的方法來重建腹部筋膜缺損是個可以考慮的方法。 |
英文摘要 | Background: Closure of large abdominal-wall defects after abdominal trauma usually requires the employment of the components separation method. We discuss a case where the separation of the external and internal oblique muscles was difficult on the right side due to severe scarring and adhesion. Both components separation and multiple partitioning were performed for the reconstruction of the abdominal wall defect. Aim and objectives: This method allows bilateral fascia mobilization over a greater distance when it is difficult to achieve separation of the external and internal oblique muscles on both sides to the level of the mid-axillary line. Materials and Methods: A 60-year-old man underwent exploratory laparotomy at China Medical University Hospital for injuries sustained after a motor vehicle accident. The large abdominal fascia defect following laparotomy was corrected by using a combined approach of both components separation and multiple partitioning and primary fascia closure was achieved. Results: Eight months after abdominal wall reconstruction, the incision was well healed, there was no evidence of hernia, and the bowel functions were normal. Conclusion: The combined use of the components separation and multiple partitioning methods may be viable choice for abdominal fascia reconstruction in cases with severe scarring and adhesion between the external and internal oblique muscles. |
本系統中英文摘要資訊取自各篇刊載內容。