The most popular and most widely used mode for short-term storage of grafts was curing them in a standard fridge at a temperature of＋4 ℃. According to the literature, the usability of the same ranges from 10 clays t...The most popular and most widely used mode for short-term storage of grafts was curing them in a standard fridge at a temperature of＋4 ℃. According to the literature, the usability of the same ranges from 10 clays to 2! days. The aim was to determine the usefulness of such a maximum time preserved grafts. This study comprised 50 patients, of which, take parts of skin with the size of 3 cm × 5 cm. It started from the 11th day after the 5 preparation were divided, one of which is a part applied to a suitable surface for accepting the transplant, the second part of the extended conservation 10 more days （to be transplanted） and the third placed in formalin and sent to histopatological analysis. Then, a series of five preparations were made, in which each subsequent extended period of conservation by one day longer, ending their 20th day. Usability over 50% of grafts preserved in NaCl solutions up to 20 days, and then felt. It is possible that a transplant is used with 30 days of preservation, but this is the exception, not the usual state.展开更多
Background.Many patients presenting with anal incontinence(AI)are frail,with attendant comorbidities precluding the use of complicated,expensive reconstructive techniques.In these cases,revisiting a simple approach—d...Background.Many patients presenting with anal incontinence(AI)are frail,with attendant comorbidities precluding the use of complicated,expensive reconstructive techniques.In these cases,revisiting a simple approach—designed to provide some sort of effective barrier to stool—is worthwhile where the options include a customized peri-anal sling or the use of an anal plug.Methods.Analysis of an unselected cohort of 33 patients(mean age 54 years;range 27–86 years)with AI is presented,these patients having undergone insertion of an elastic band peri-anal sling between December 2004 and December 2009.Preand post-operative assessment included the Jorge-Wexner score of incontinence,anorectal manometry and the Rockwood Fecal Incontinence Quality of Life(FIQoL)score.Results.The follow-up period ranged from 50 to 108 months with a mean of 65 months.Early post-operative complications included spontaneous disruption of the sling at the fourth and seventh post-operative day in two patients and local infection in a further two cases.Late complications included skin erosion in two patients,(one occurring 3 years post-operatively)and breakage of the sling in a further seven patients.Explantation was performed in 13 cases,and re-implantation in 10 patients.No differences were noted in resting or squeeze manometry,with significant improvement in the Jorge-Wexner scores in 32 cases and in all of the four Rockwood quality of life scales.Conclusions.An anal sling is an effective and simple surgical option for the management of selected cases presenting with anal incontinence.Longer-term data are awaited comparing this technique with other standard surgical alternatives.展开更多
文摘The most popular and most widely used mode for short-term storage of grafts was curing them in a standard fridge at a temperature of＋4 ℃. According to the literature, the usability of the same ranges from 10 clays to 2! days. The aim was to determine the usefulness of such a maximum time preserved grafts. This study comprised 50 patients, of which, take parts of skin with the size of 3 cm × 5 cm. It started from the 11th day after the 5 preparation were divided, one of which is a part applied to a suitable surface for accepting the transplant, the second part of the extended conservation 10 more days （to be transplanted） and the third placed in formalin and sent to histopatological analysis. Then, a series of five preparations were made, in which each subsequent extended period of conservation by one day longer, ending their 20th day. Usability over 50% of grafts preserved in NaCl solutions up to 20 days, and then felt. It is possible that a transplant is used with 30 days of preservation, but this is the exception, not the usual state.
文摘Background.Many patients presenting with anal incontinence(AI)are frail,with attendant comorbidities precluding the use of complicated,expensive reconstructive techniques.In these cases,revisiting a simple approach—designed to provide some sort of effective barrier to stool—is worthwhile where the options include a customized peri-anal sling or the use of an anal plug.Methods.Analysis of an unselected cohort of 33 patients(mean age 54 years;range 27–86 years)with AI is presented,these patients having undergone insertion of an elastic band peri-anal sling between December 2004 and December 2009.Preand post-operative assessment included the Jorge-Wexner score of incontinence,anorectal manometry and the Rockwood Fecal Incontinence Quality of Life(FIQoL)score.Results.The follow-up period ranged from 50 to 108 months with a mean of 65 months.Early post-operative complications included spontaneous disruption of the sling at the fourth and seventh post-operative day in two patients and local infection in a further two cases.Late complications included skin erosion in two patients,(one occurring 3 years post-operatively)and breakage of the sling in a further seven patients.Explantation was performed in 13 cases,and re-implantation in 10 patients.No differences were noted in resting or squeeze manometry,with significant improvement in the Jorge-Wexner scores in 32 cases and in all of the four Rockwood quality of life scales.Conclusions.An anal sling is an effective and simple surgical option for the management of selected cases presenting with anal incontinence.Longer-term data are awaited comparing this technique with other standard surgical alternatives.
