brad composix补片联合皮瓣转移修复腹壁巨大缺损的研究word格式论文.docxVIP

TheresearchofBradComposix meshcombinedwithskinflaptransferrepairlargeabdominalwalldefectsAbstractObjectiveToevaluatethemethods，indicationsandefficacyofartificial antiadhesivemeshcombinedwithlocalskinflaptransferrepairfullthicknesslarge abdominal wall defects associated with peritonealdefect.Methods SelectfromNovember2008toDecember2012,inourhospital,8 casesoffull-thicknessabdominalwallandperitonealdefectafterabdominalsurgery andthearoundskincannotbefreetodrawdirectly.Ofthe8cases,2malesand6females;theaverageagewas53years(range,32～76years).Themeancourseofdiseasewas2.3years(range,1～4years).Only1caseofabdominalwallscar contracture;theothersareabdominaltumor,postoperativepathologicaltypes:3cases ofprotuberansskinfibrosarcoma,squamouscellcarcinomain1case,epithelioidsarcomain1case,sweatglandcarcinomain1case,coloncancerinvadingabdominal wallin1case,epithelioidsarcomawasrecurrentthreetimes.Theprimarylesiondoes not infringe the gastrointestinal tract, and no wound contamination, incisioncategories are class I，1 patient with diabetes and hypertension, and 1 case ofpulmonaryinfection.8cases wereusedtheBardComposixmesh combined with local skin flappimaryrepair .Result Diseasedtissueresectionofperitonealdefectarea4cm×5cm~10cm× 12cm;muscledefectarea4cm×5cm~10cm×12cm；skindefectarea6cm× 10cm~12cm×15cm;themesharea7cm×8cm~13cm×15cm.8casesofsuccessfulcompletionofthesurgery,6casesofrotationskinflap,2casesofadvanceskinflap, themeanoperationtimewas110min(range,80~120min),thebloodlossof80~200mL. Theoperationwassuccessfulinallthecases,skinflapsurvived.only1casefound subcutaneousfluid,toconsiderpoordrainage,causedbyliquefactionoffat,cureafter drainageandlocalpressuredressing;1caseofabdominalwallpainsymptomsaftersixmonths.Telephonefollow-upof3monthsto4years,thedeathofpatientswith coloncancerintumormetastasis;remainingpatientswithoutevidenceofrecurrence, incisionalhernia,abdominaldistension,abdominalforeignbodysensation,can engagein normal physical activity.ConclusionsThemethodofBardComposixant