在复杂产科瘘修补术中使用腹直肌肌皮瓣重建阴道的新方法：病例系列。

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL

ACS Applied Energy Materials Pub Date : 2024-08-08 DOI:10.1111/1471-0528.17926

Tulsi Patel, Rodger Brown, Ennet Chipungu, Michael Breen, Jennifer Draganchuk, Patrick Nampandeni, Awol Legesse, Jeffrey Wilkinson

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引用次数: 0

摘要

目的：在全球范围内，产科瘘是难产后的一种悲剧性后果。复杂修补失败和术后失禁是常见病。我们介绍了一种在瘘管修补时结合腹直肌皮瓣的创新手术技术：设计：回顾性病例系列：马拉维，瘘管护理中心：方法：患者出院后随访3个月，以确定其排便和愈合情况：结果：6 名患者中有 5 人在 3 个月后仍能继续排尿，1 人在术后 1 个月的电话随访中因干性失访。没有重大并发症：结论：腹直肌皮瓣可能是修复复杂产科瘘管的有效辅助手段。

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Novel use of the rectus abdominus muscle flap for vaginal reconstruction in complex obstetric fistula repair: A case series.

Objective: Globally, obstetric fistula is a tragic outcome following obstructed labour. Failure of complex repair and post-operative incontinence are common. We describe an innovative surgical technique incorporating the rectus abdominus flap at the time of fistula repair.

Design: Retrospective case series.

Setting: Malawi, Fistula Care Centre.

Methods: Patients were followed for 3 months after discharge to determine continence and healing.

Results: Five of six patients were continent at 3 months and one was lost to follow-up by dry at a one month post-operative phone call. There were no major complications.

Conclusions: The rectus abdominus flap may be a useful adjunct to repair of complex obstetric fistula.

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.