Objective: The aim of this study is to introduce an operative procedure for the reconstruction of the posterior wall of the vagina during complete resection of endometriosis in the spatium rectovaginale. Methods: We p...Objective: The aim of this study is to introduce an operative procedure for the reconstruction of the posterior wall of the vagina during complete resection of endometriosis in the spatium rectovaginale. Methods: We performed the transplantation of a free peritoneal flap for the reconstruction of the posterior vaginal wall in 3 cases in the period between 04/2002 and 02/2004. The indication for this procedure was a chronicinflammatory alteration of the Douglas peritoneum because of endometriosis after tumor- adaptive removal of the posterior vaginal wall during Wertheim- Meigs operation. The detailed reconstructive procedure will be explained. Primary healing occurred in all patients. We were able to get a durable vaginal size. Conclusions: The use of a free peritoneal flap for the reconstruction of a strictly posterior defect of the vaginal wall is an easy and safe procedure under benign conditions such as advanced endometriosis including the spatium rectovaginale. This procedure results in only minimal defects at the donor site and shows a good rate of primary healing.展开更多
新生儿坏死性小肠结肠炎(Necro-tizing enterocolitis,NEC)X 线表现有助于早期诊断,了解病变发展过程,从而确定保守或手术治疗方案,目前仅上海、北京、广州、南京、重庆、广西、苏州7个医疗中心就报告665例,有日渐增多趋势。本文就 NEC ...新生儿坏死性小肠结肠炎(Necro-tizing enterocolitis,NEC)X 线表现有助于早期诊断,了解病变发展过程,从而确定保守或手术治疗方案,目前仅上海、北京、广州、南京、重庆、广西、苏州7个医疗中心就报告665例,有日渐增多趋势。本文就 NEC 的 X 线表现与临床关系作一扼要综述。展开更多
文摘Objective: The aim of this study is to introduce an operative procedure for the reconstruction of the posterior wall of the vagina during complete resection of endometriosis in the spatium rectovaginale. Methods: We performed the transplantation of a free peritoneal flap for the reconstruction of the posterior vaginal wall in 3 cases in the period between 04/2002 and 02/2004. The indication for this procedure was a chronicinflammatory alteration of the Douglas peritoneum because of endometriosis after tumor- adaptive removal of the posterior vaginal wall during Wertheim- Meigs operation. The detailed reconstructive procedure will be explained. Primary healing occurred in all patients. We were able to get a durable vaginal size. Conclusions: The use of a free peritoneal flap for the reconstruction of a strictly posterior defect of the vaginal wall is an easy and safe procedure under benign conditions such as advanced endometriosis including the spatium rectovaginale. This procedure results in only minimal defects at the donor site and shows a good rate of primary healing.
文摘新生儿坏死性小肠结肠炎(Necro-tizing enterocolitis,NEC)X 线表现有助于早期诊断,了解病变发展过程,从而确定保守或手术治疗方案,目前仅上海、北京、广州、南京、重庆、广西、苏州7个医疗中心就报告665例,有日渐增多趋势。本文就 NEC 的 X 线表现与临床关系作一扼要综述。