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41.
42.
A. Emmermann C. Zornig D. M. Lloyd M. Peiper C. Bloechle C. E. Broelsch 《Surgical endoscopy》1997,11(7):734-736
Background: Between 1991 and November 1994, 18 patients with large, solitary, nonparasitic liver cysts underwent laparoscopic deroofing;
the last 13 of them also received an omental transposition flap in addition.
Methods: Using three to four trocars, the cystic contents were first aspirated, and the cyst derooted widely using diathermia. An
omental transposition flap was fashioned and stapled into the cyst cavity itself.
Results: Postoperative complications included one case of pulmonary atelectasis. Another patient developed a subhepatic bile collection
which was aspirated percutaneously. On average, patients were discharged on the 4th (2–14) postoperative day. Follow-up was
performed with abdominal ultrasound for 2–43 months (mean 19 months). There were two early cyst recurrences, both in cases
without an omental transposition flap (overall recurrence rate, 11%; in patients with omental flap, 0).
Conclusions: Deroofing in combination with an omental transposition flap is a safe and effective therapy for symptomatic solitary liver
cysts and can be performed using minimal-access surgical techniques.
Received: 19 January 1996/Accepted: 26 August 1996 相似文献
43.
44.
带血管蒂跗骨瓣移位术修复踝及足部骨病损 总被引:6,自引:2,他引:4
目的 为治疗踝及足部骨质病损提供系列手术方式。方法 在解剖学研究基础上,设计了带血管蒂的骰骨瓣、内侧楔骨瓣、舟骨瓣和跟骨前外侧骨瓣移位术,以修复踝及足骨质病损。临床应用55例。结果 术后经l—10年随访48例,平均为4年6个月,疗效满意。结论 上述4种跗骨瓣均具有血管蒂位置表浅、解剖容易和手术安全可靠等优点。 相似文献
45.
高奉浔 《中国人民解放军军医大学学报》1989,(1)
Eight cases of mesenchymal chondrosarcoma either of skeletal(5 cases) or extrasketetalorigin (3 cases) are reported. According to histopathological and diagnostic criteria,mesenchymal chondrosarcoma were classified into two types cartilage isiand cell type andundifierentiated small cell type It is believed that the application of this classification in the study ofmesenchymal chondrosarcoma is helptul the estimation of its malignancy and choice of treatmentas well al in the prediction of its prognosis. Mesenchymal chondrosarcoma is a highly malignant neoplasm with poor prognosis. None ofthe patients in this series survived more than five years after they were diagnosed. The diffentialdiagnosis of malignant lymphoma, chondrosarcoma, hemangiopericytosarcoma, etc. was discussed.My data support the assumption that mesenchymal chondrosarcoma originates from the secondarymesenchyme rather than the primary mesenchyme. 相似文献
46.
Cevat Uçar 《European archives of oto-rhino-laryngology》2006,263(12):1082-1086
We used inferior pedicled composite multi-fractured osteoperiosteal flap (CMOF), our original and new surgical approach, to obliterate the mastoid cavity and reconstruct the external auditory canal (EAC) to prevent the open cavity problems. CMOF was used to obliterate the mastoid cavity and reconstruct the EAC in 24 patients (13 women, 11 men; age span 12–51 years) who underwent radical mastoidectomy to treat the chronic otitis media between 1998 and 2004. Small meatoplasty was done in all 24 patients to relive their aesthetical concerns. Temporal bone CT scanning was done to observe the neo-osteogenesis in the mastoidectomy cavity and the CMOF, and the EAC volume was measured postoperatively. All our patients were followed-up for 2 years. The epithelization of the new EAC in our patients was complete at the end of the second month. Cholesteatoma, granulation, and recurrence of osteitis did not occur in any of the patients. We saw the new bone formation filling the mastoid cavity in the postoperative temporal bone CT scanning images. The mean volume of the new EAC on the 24th month was 1.83 ± 0.56 cm3. We had an almost natural EAC, which owed its existence to the neo-osteogenesis that grows behind the CMOF, which we use to obliterate the mastoid cavity and to reconstruct the EAC.This technique, composite multi-fractured osteoperiosteal flap, was presented in the symposium of Gulhane Military Medical Academy on otology and audiology, 15–18 September, 2005, Antalya, Turkey. 相似文献
47.
Summary The rectus abdommis myocutaneous flap, based on the deep inferior epigastric vessels, is an excellent flap for reconstructing
large wounds of the groin and perineum. However, wound infection in the donor site is a potential complication, even with
thorough preparation of the recipient site. We present one such case in a diabetic patient who developed a necrotizing fasciitis
and evisceration following transfer of an inferiorly based myocutaneous flap. 相似文献
48.
Foropenseverewoundandthewoundafterdebridement,mostscholarsthinkthewoundshouldbeclosedindelayedfirst-phase.Meshrelaxingshortincision(MRSI)methodcanclosemoreskindeficiencyandhightensionopenwound,andavoidsubcutaneoushematomaandskinflapdrift.Intheexperiment,theexperimentalmodelonrattensionskinflaphasbeeninvolved,andthecontentofendothelin(ET)inratskinflaptissuehasbeenmeasuredinvariousperiodofwoundhealingaftermeshedrelaxingshortincisionsuturewithimmunohistochemistry,inordertodiscussprobablemechani… 相似文献
49.
阔筋膜皮瓣移植修复手前臂巨大创面 总被引:4,自引:0,他引:4
报道采用吻合血管的阔筋膜皮瓣移植,修复手、前臂巨大创面11例,均获成功,其优点:①阔筋膜长而坚韧,内面光滑,覆盖关节、骨、肌腱粘连轻,尤其利于肌腱滑动,是修复手、前臂的最佳皮瓣。②皮肤与肌腱同时缺损时,利用阔筋膜修复肌腰,一期完成肌腱及皮肤的修复。③股外侧皮神经长而粗,分支多,适合手部感觉修复。④供区隐蔽,皮下组织簿,血运丰富,供皮及阔筋膜面积大。 相似文献
50.
Porcine models have been used extensively for skin flap research because of the established similarity between the cutaneous
blood supply of the swine and humans. The Yucatan minipig provides an excellent model for researching the properties of random
cutaneous flaps, offering several advantages over other breeds of swine. In this study, a total of 67 random cutaneous dorsal
flank flaps measuring 4 × 14 cm were raised on nine Yucatan minipigs. The mean survival length (10.03 ± 1.60 cm) of the nondelayed
flaps was greater than others reported in the literature. The well-defined plane between the subcutaneous tissue and the panniculus
carnosus facilitated flap elevation consistently above the level of the panniculus carnosus thereby ensuring the creation
of a true random cutaneous flap. Furthermore, the hairless nature of the skin, particularly beneficial in studying chemical
peels, permits easy visualization and monitoring of any external skin changes. These advantages make the Yucatan minipig a
more desirable alternative to other breeds of swine for use in skin flap research. 相似文献