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 4.7 1区医学 Q1 OBSTETRICS & GYNECOLOGY Bjog-An International Journal of Obstetrics and Gynaecology 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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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

Bjog-An International Journal of Obstetrics and Gynaecology 医学-妇产科学

CiteScore

10.90

自引率

5.20%

发文量

345

审稿时长

3-6 weeks

期刊介绍： BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.