乳房皮肤移植下的乳汁收集奇案:经验教训!

S Karmakar, P C Kala, A Humnekar
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引用次数: 0

摘要

乳房上的生硬区域,尤其是哺乳期的乳房,可能会导致并发症,包括高催乳素血症和乳瘘的发生。一名 25 岁的女性在分娩 2 个月后出现左侧乳房生硬区。她的病史提示有坏死性疾病,主要通过清创和敷料在其他地方进行了处理。我们切除了生硬的区域,并进行了分层厚皮移植,网状结构极少。厚重的敷料阻碍了母乳喂养。术后第 3 天,移植物下方出现了含有乳汁的出血点。我们对出血点进行了引流,并口服卡贝戈林 3 个月。植皮愈合良好。如果无法分泌乳汁,则应考虑抑制泌乳,然后再最终覆盖乳房的原始区域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The curious case of milk collection under skin graft over the breast: Lessons learned!

Raw area on the breast, especially when it is lactating, can lead to complications, including hyperprolactinemia and development of milk fistulae. A 25-year-old female presented with raw area over the left breast after 2 months of childbirth. She had history suggestive of necrotizing disease, which had primarily been managed elsewhere with debridement and dressings. We excised the raw area and applied split thickness skin grafts with minimal meshing. Bulky dressing prevented breastfeeding. On postoperative day 3, there were blebs containing milk underneath the graft. The blebs were drained and oral cabergoline was administered for 3 months. The skin graft healed well. If expression of breast milk is not possible then suppression of lactation should be considered before definitive cover of the raw area of breast.

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