查詢結果分析
來源資料
頁籤選單縮合
題名 | Spontaneous Rupture of Posterior Sheath of Rectus Abdominis after TRAM Flap Breast Reconstrucion=橫式腹直肌皮瓣乳房重建後腹直肌後筋膜破裂 |
---|---|
作者 | 湯月碧; 黃國峰; 梁金銅; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 30:4 民86.07-08 |
頁次 | 頁293-296 |
分類號 | 416.413 |
關鍵詞 | 橫式腹直肌皮瓣乳房重建; 腹直肌後筋膜破裂; Spontaneous rupture; Posterior sheath of rectus abdominis; TRAN; Breast reconstruction; |
語文 | 英文(English) |
中文摘要 | We report an unusual early complication after TRAM(Transverse Rectus Abdominis Myocutaneous) flap breast reconstruction.Bilateral pedicled TRAM flap for breast reconstruction was performed on a 51-year-old female patient who received bilateral subcutaneous mastectomy due to foreign body granuloma of the breasts.The donor site was primarily closed.Post-operative course was complicated with respiratory distress leading to rupture of the posterior sheath of abdominal wall at the left side epigastrium.After synthetic mesh repair for the ventral hernia, the patient was discharged without further complication.We conclude that synthetic mesh may be used for tension or bilateral TRAM flaps donor site closure in respiratory compromised patient to prevent ventral hernia.We also conclude that respiratory assistance is mandated in patients bound for bilateral breast reconstruction.Pre-operative respiratory training is also crucial to obtain an uncomplicated post-operative course. |
英文摘要 | 橫式腹直肌皮瓣乳房重建後早期發生腹部疝氣是不尋常的併發症。這位51歲的女 病人因為乳房異物反應,接受兩側乳房皮下切除而行兩側橫式腹直肌皮瓣乳重建,供應區直 接縫合。術後因呼吸窘迫而在左上腹區之腹直肌後筋膜發生破裂產生腹部疝氣,經過以人工合 成網修補腹部疝氣後,病患順利出院。我們認為在呼吸功能不佳病患行兩側橫式腹直肌皮瓣 乳房重建可考慮以人工合成網加強供應區以避免腹部疝氣的發生。同時,此類病患術後的呼 吸輔助是必要的,術前呼吸訓練有助於避免術後的併發症。 |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。