中国现代手术学杂志2017，Vol.21Issue(4)：261-264,4.DOI:10.16260/j.cnki.1009-2188.2017.04.005
改进菱形切口在回肠造口关瘘术中的应用
The Clinical Value of Newly Diamond Incision in Stoma Closure
袁园园 1刘刚磊 1王沙龙 1袁联文1
作者信息
- 1. 中南大学湘雅二医院老年外科,长沙 410011
- 折叠
摘要
Abstract
Objective To improve the design of operative incision in stoma closure and to further evalu -ate the value of newly diamond incision. Methods The clinical data of 5 cases performed stoma closure from December 2016 to March 2017 were analyzed retrospectively.Taking two points, marked as A or C, which are about 1 centimeter distant from the edge of the fistula .The line AC was perpendicular to the abdominal der -matoglyphs, and pass through the center of original fistula .Another two points, marked as B or D, were closed to the edge of the fistula.The line BD was paralleled to dermatoglyphs .Connecting four points into a diamond-ABCD with the long diagonal of 4 to 5 centimeters and short diagonal of 2 to 3 centimeters.Join the mid-points on each side of the diamond-ABCD by a needle, then, tighten the cut into a cross, indwelling gram size pore in the middle against the subcutaneous drainage . Results The operative time of stoma closure was 65 to 115 minutes with an average of 90 minutes in all 5 cases.No serious post-operative complications such as severe pain, incisional hernia and superficial incisional surgical site infection (SSI) were found. Conclusion The diamond incision can be superior to the conventional fusiform incision with simple operating , lower SSI, less pain and better cosmetic result .关键词
菱形切口/关瘘术/回肠造口术/感染Key words
diamond incision/stoma closure/ileostomy/infection分类
医药卫生引用本文复制引用
袁园园,刘刚磊,王沙龙,袁联文..改进菱形切口在回肠造口关瘘术中的应用[J].中国现代手术学杂志,2017,21(4):261-264,4.
