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计划性腹疝腹壁重建策略 被引量：5

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摘要 开放腹腔手术显著降低了腹腔间隙综合征等患者的病死率,但10%~25%的患者需要植皮形成计划性腹疝（PVH）。PVH为一种新的腹壁切口疝,其腹膜、筋膜和皮肤等被覆组织层均显著区别于传统切口疝;文中阐述了PVH腹壁重建的目的和策略,包括腹直肌-腹横肌-腹内斜肌复合肌瓣推徙和改良腹直肌推徙两种CST技术,推荐采用Biodesign补片,提出＂开放式组织分离＋生物补片完全腹腔内修补术＂为PVH首选术式,还简要介绍了围术期处理的要点。
作者 张连阳
机构地区 第三军医大学大坪医院野战外科研究所全军战创伤中心
出处 《中华疝和腹壁外科杂志（电子版）》 2016年第1期8-11,共4页 Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金 国家科技支撑计划基金资助项目(2012BAI11B01) 国家科技惠民计划基金资助项目(2013GS500101)
关键词 计划性腹疝 切口疝腹壁重建 组织分离 生物补片
分类号 R656.2 [医药卫生—外科学]
  • 相关文献

参考文献17

  • 1张连阳.应重视开放腹腔手术[J].中华临床医师杂志（电子版）,2012,6(21):6649-6651. 被引量：7
  • 2Schecter WP, Rao RI, Rotondo MF, et al. Open abdomen after trauma and abdominal sepsis: A strategy for management [ J ]. J AmCoil Surg, 2006, 203 ( 3 ) : 390-396.
  • 3De Waele JJ, Leppiniemi AK. Temporary abdominal closure techniques[J]. Am Surg, 2011, 77(7) :46-50.
  • 4Miller PR, Meredith JW, Johnson JC, et al. Prospective evaluation of vacuum-assisted faseial closure after open abdomen: planned ventral hernia rate is substantially reduced [ J ]. Ann Surg, 2004, 239(5) :608-616.
  • 5Bee TK, Croee MA, Magnotti LJ, et al. Temporary abdominal closure techniques: a prospective randomized trial comparing polyglactin 910 mesh and vacuum-assisted closure [ J ]. J Trauma, 2008, 65 (2) :337-344.
  • 6中华医学会外科学分会疝和腹壁外科学组,中国医师协会外科医师分会疝和腹壁外科医师委员会.腹壁切口疝诊疗指南(2014年版)[J].全科医学临床与教育,2014,21(6):364-366.
  • 7张连阳,张岫竹.遵循规范,提高腹腔高压症/腹腔间隙综合征的诊治水平[J].中国普外基础与临床杂志,2015,22(3):257-259. 被引量：8
  • 8Schein M. Surgical management of intra-abdominal infection: is there any evidence [ J ]. Langenbecks Arch Surg, 2002, 387 ( 1 ) : 1-7.
  • 9张连阳.“创伤后腹腔高压症／腹腔间隙综合征诊治规范”解读[J].中华创伤杂志,2012,28(11):965-968. 被引量：23
  • 10Tukiainen E, Leppaniemi A. Reconstruction of extensive abdominalwall defects with microvascular tensor fasciae latae flap [ J ]. Br J Surg, 2011,98(6) :880-884.

二级参考文献53

  • 1张连阳.应重视开放腹腔手术[J].中华临床医师杂志（电子版）,2012,6(21):6649-6651. 被引量：7
  • 2中华医学会外科学分会疝和腹壁外科学组.成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案(2003年修订稿)[J].中华外科杂志,2004,42(14):834-835. 被引量：630
  • 3Cheatham ML, Safcsak K. Is the evolving management of intra - abdominal hypertension and abdominal compartment syndrome im- proving survival. Cfit Care Med, 2010, 38(2) :402 -407.
  • 4De Waele JJ, Cheatham ML, Malbrain ML, et al. Recommenda- tions for research from the International Conference of Experts on Intra - abdominal hypertension and abdominal compartment syn- drome. Acta Clin Belg, 2009, 64(3) :203 -209.
  • 5Acosta S, Bjarnason T, Petersson U, et al. Multicentre prospec- tive study of fascial closure rate aftey open abdomen with vacuum and mesh- mediated fascial traction. Br J Surg, 2011, 98 (5): 735 - 743.
  • 6De Keu|enaer BL, Regli A, Malbrain ML. Intra - abdominal measurement techniques: is there anything new. Am Surg, 2011, 77 Suppl 1 :S17 - $22.
  • 7Malbrain ML. Different techniques to measure intra - abdominal pressure (IAP) : time for a critical re -appraisal. Intensive Care Med, 2004, 30(3):357-371.
  • 8Regli A, De Keulenaer BL, Hockings LE, et al. The role of femo- ral venous pressure and femoral venous oxygen saturation in the setting of intra - abdominal hypertension: a pig model. Shock, 2011, 35(4) :422 -427.
  • 9Cheatham ML, Malbrain ML, Kirkpatrick A, et al. Results from the International Conference of Experts on Intra - abdominal Hy- pertension and Abdominal Compartment Syndrome. If. Recom- mendations. Intensive Care Med, 2007, 33(6) :951 -962.
  • 10Krebs J, Pelosi P, Tsagogiorgas C, et al. Effects of positive end - expiratory pressure on respiratory function and hemodynamics in patients with acute respiratory failure with and without intra - ab- dominal hypertension: a pilot study. Crit Care, 2009, 13(5) :R160.

共引文献41

同被引文献49

  • 1张连阳.应重视开放腹腔手术[J].中华临床医师杂志（电子版）,2012,6(21):6649-6651. 被引量：7
  • 2Schecter WP, Rao RI, Rotondo MF, et al. Open abdomen after trauma and abdominal sepsis: A strategy for management [ J ]. J AmCoil Surg, 2006, 203 ( 3 ) : 390-396.
  • 3De Waele JJ, Leppiniemi AK. Temporary abdominal closure techniques[J]. Am Surg, 2011, 77(7) :46-50.
  • 4Miller PR, Meredith JW, Johnson JC, et al. Prospective evaluation of vacuum-assisted faseial closure after open abdomen: planned ventral hernia rate is substantially reduced [ J ]. Ann Surg, 2004, 239(5) :608-616.
  • 5Bee TK, Croee MA, Magnotti LJ, et al. Temporary abdominal closure techniques: a prospective randomized trial comparing polyglactin 910 mesh and vacuum-assisted closure [ J ]. J Trauma, 2008, 65 (2) :337-344.
  • 6中华医学会外科学分会疝和腹壁外科学组,中国医师协会外科医师分会疝和腹壁外科医师委员会.腹壁切口疝诊疗指南(2014年版)[J].全科医学临床与教育,2014,21(6):364-366.
  • 7Schein M. Surgical management of intra-abdominal infection: is there any evidence [ J ]. Langenbecks Arch Surg, 2002, 387 ( 1 ) : 1-7.
  • 8Tukiainen E, Leppaniemi A. Reconstruction of extensive abdominalwall defects with microvascular tensor fasciae latae flap [ J ]. Br J Surg, 2011,98(6) :880-884.
  • 9Mathes SJ, Steinwald PM, Foster RD, et al. Complex abdominal wall reconstruction: a comparison of flap and mesh closure[ J]. Ann Surg, 2000, 232(4): 586-596.
  • 10Deerenberg EB, Timmermans L, Hogerzeil DP, et al. A systematic review of the surgical treatment of large incisional hernia [ J ]. Hernia, 2015, 19(1) :89-101.

引证文献5

二级引证文献99

中华疝和腹壁外科杂志（电子版）
2016年 第1期

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