| 腹直肌皮瓣行乳房再造术后腹壁薄弱、腹壁疝防治体会 |
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| 引用本文： | 林晓燕.腹直肌皮瓣行乳房再造术后腹壁薄弱、腹壁疝防治体会[J].临床和实验医学杂志,2007,6(11):80-81. |
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| 作者姓名： | 林晓燕 |
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| 作者单位： | 郏县第二人民医院整形外科,河南,平顶山,467100 |
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| 摘 要： | 目的研究腹直肌(TRAM)皮瓣行乳房再造术后腹壁薄弱、腹壁疝的防治方法。方法10例患者,在乳房切除术后应用带蒂TRAM皮瓣进行乳房重建,应用聚丙烯网片修复腹壁缺损。结果术后恢复良好,住院期间无感染及其他并发症发生,平均随访1年,未发现腹壁疝及腹壁膨隆。结论应用聚丙烯网修补腹壁缺损处,及充分术前准备及重视术后护理,可有效减轻腹壁膨隆及预防腹壁疝的发生。
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| 关 键 词： | 聚丙烯 乳房再造 腹壁缺损 |
| 修稿时间： | 2007-09-08 |
Experience in preventing abdominal hernia after TRAM flap transfer for breast reconstruction |
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| LIN Xiao-yan.Experience in preventing abdominal hernia after TRAM flap transfer for breast reconstruction[J].Journal of Clinical and Experimental Medicine,2007,6(11):80-81. |
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| Authors: | LIN Xiao-yan |
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| Institution: | Department Plastic Surgery, the Second Hospital of Jiaxian , Pingdingshan Henan 467100, China. |
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| Abstract: | Objective To investigate the ideal method for repairing abdominal defect after TRAM(transverse rectus abdominis myocutaneous) flap transfer and preventing formation of abdominal hernia.Methods The abdominal defect after TRAM flap transfer in 10 cases was repaired by a polypropylene mesh.Results All patients recovered very well after the operation. There was no infection or complication happened during hospitalization and an average follow-up period of one year. No abdominal hernia and abdominal bulge had been occurred during above-mentioned period.Conclusion Repairing abdominal defect by polypropylene mesh, full preoperative preparation and intensively postoperative nursing can effectively prevent the formation of abdominal hernia after TRAM flap transfer. |
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| Keywords: | Polypropylene mesh Breast reconstruction Abdominal defect |
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