FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4366821907> ?p ?o ?g. }

• W4366821907 endingPage "492" @default.
• W4366821907 startingPage "486" @default.
• W4366821907 abstract "Objective: To examine the patterning cropped and shaped mesh repair for perineal hernia after abdominoperineal excision (APE) in rectal cancer. Methods: The clinical data of 8 patients with perineal hernia after APE who accepted surgical treatment in the Department of Hepatopancreatobiliary and Hernia Surgery, the First Affiliated Hospital of Fujian Medical University from March 2017 to December 2022 were retrospectively reviewed. There were 3 males and 5 females, aged (67.6±7.2) years (range: 56 to 76 years). Eight patients developed a perineal mass at (11.3±2.9) months (range: 5 to 13 months) after APE. After surgical separation of adhesion and exposing the pelvic floor defect, a 15 cm×20 cm anti-adhesion mesh was fashioned as a three-dimensional pocket shape to fit the pelvic defect, then fixed to the promontory or sacrum and sutured to the pelvic sidewalls and the anterior peritoneum, while two side slender slings were tailored in front of the mesh and fixed on the pectineal ligament. Results: The repair of their perineal hernias went well, with an operating time of (240.6±48.8) minutes (range: 155 to 300 minutes). Five patients underwent laparotomy, 3 patients tried laparoscopic surgery first and then transferred to laparotomy combined with the perineal approach. Intraoperative bowel injury was observed in 3 patients. All patients did not have an intestinal fistula, bleeding occurred. No reoperation was performed and their preoperative symptoms improved significantly. The postoperative hospital stay was (13.5±2.9) days (range: 7 to 17 days) and two patients had postoperative ileus, which improved after conservative treatment. Two patients had a postoperative perineal hernia sac effusion, one of them underwent placement of a tube to puncture the hernia sac effusion due to infection, and continued irrigation and drainage. The postoperative follow-up was (34.8±14.0) months (range: 13 to 48 months), and 1 patient developed recurrence in the seventh postoperative month, no further surgery was performed. Conclusions: Surgical repair of the perineal hernia after APE can be preferred transabdominal approach, routine application of laparoscopy is not recommended, combined abdominoperineal approach can be considered if necessary. The perineal hernia after APE can be repaired safely and effectively using the described technique of patterning cropped and shaped mesh repair.目的： 探讨模式化裁剪补片对腹会阴联合直肠癌切除术后会阴疝患者的塑形修补效果。 方法： 回顾性分析2017年3月至2022年12月就诊于福建医科大学附属第一医院肝胆胰、疝外科的8例腹会阴联合直肠癌切除术后会阴疝患者的临床资料。男性3例，女性5例，年龄（67.6±7.2）岁（范围：56~76岁），直肠癌术后第（11.3±2.9）个月（范围：5~13个月）出现会阴部肿物。手术缺损修补采用15 cm×20 cm防粘连补片，经模式化裁剪、塑形为近网兜状以适应盆腔缺损，并于补片前方裁剪出两侧细长固定带固定于前方耻骨梳韧带。 结果： 8例患者手术均顺利完成，手术时间（240.6±48.8）min（范围：155~300 min）。5例患者行开腹手术，3例患者先尝试行腹腔镜手术，后中转开腹联合会阴部入路。3例患者术中发生肠管损伤。所有患者术后无肠瘘、出血，无再手术，术前症状均得到明显改善。术后住院时间（13.5±2.9）d（范围：7~17 d），2例患者术后发生肠梗阻，经保守治疗后好转。2例患者术后会阴部疝囊内积液，其中1例因合并感染行疝囊积液穿刺置管，并持续冲洗引流后治愈。术后随访（34.8±14.0）个月（范围：13~48个月），1例患者于术后第7个月会阴疝复发，未再行手术治疗。 结论： 腹会阴直肠癌切除术后会阴疝手术优先选择经腹部入路，必要时行腹会阴部联合入路，模式化裁剪补片塑形修补方案的治疗效果较好，可用于腹会阴联合直肠癌切除术后会阴疝的治疗。." @default.
• W4366821907 created "2023-04-25" @default.
• W4366821907 creator A5015650602 @default.
• W4366821907 creator A5015715002 @default.
• W4366821907 creator A5016258095 @default.
• W4366821907 creator A5037484435 @default.
• W4366821907 creator A5057860007 @default.
• W4366821907 date "2023-06-01" @default.
• W4366821907 modified "2023-09-28" @default.
• W4366821907 title "[Summary of experience with patterning cropped and shaped mesh repair for perineal hernia after abdominoperineal excision in rectal cancer]." @default.
• W4366821907 doi "https://doi.org/10.3760/cma.j.cn112139-20230130-00040" @default.
• W4366821907 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37088481" @default.
• W4366821907 hasPublicationYear "2023" @default.
• W4366821907 type Work @default.
• W4366821907 citedByCount "0" @default.
• W4366821907 crossrefType "journal-article" @default.
• W4366821907 hasAuthorship W4366821907A5015650602 @default.
• W4366821907 hasAuthorship W4366821907A5015715002 @default.
• W4366821907 hasAuthorship W4366821907A5016258095 @default.
• W4366821907 hasAuthorship W4366821907A5037484435 @default.
• W4366821907 hasAuthorship W4366821907A5057860007 @default.
• W4366821907 hasConcept C121608353 @default.
• W4366821907 hasConcept C126322002 @default.
• W4366821907 hasConcept C141071460 @default.
• W4366821907 hasConcept C178790620 @default.
• W4366821907 hasConcept C185592680 @default.
• W4366821907 hasConcept C2776341189 @default.
• W4366821907 hasConcept C2779096551 @default.
• W4366821907 hasConcept C2780778865 @default.
• W4366821907 hasConcept C2781171867 @default.
• W4366821907 hasConcept C526805850 @default.
• W4366821907 hasConcept C71924100 @default.
• W4366821907 hasConcept C84416704 @default.
• W4366821907 hasConceptScore W4366821907C121608353 @default.
• W4366821907 hasConceptScore W4366821907C126322002 @default.
• W4366821907 hasConceptScore W4366821907C141071460 @default.
• W4366821907 hasConceptScore W4366821907C178790620 @default.
• W4366821907 hasConceptScore W4366821907C185592680 @default.
• W4366821907 hasConceptScore W4366821907C2776341189 @default.
• W4366821907 hasConceptScore W4366821907C2779096551 @default.
• W4366821907 hasConceptScore W4366821907C2780778865 @default.
• W4366821907 hasConceptScore W4366821907C2781171867 @default.
• W4366821907 hasConceptScore W4366821907C526805850 @default.
• W4366821907 hasConceptScore W4366821907C71924100 @default.
• W4366821907 hasConceptScore W4366821907C84416704 @default.
• W4366821907 hasIssue "6" @default.
• W4366821907 hasLocation W43668219071 @default.
• W4366821907 hasOpenAccess W4366821907 @default.
• W4366821907 hasPrimaryLocation W43668219071 @default.
• W4366821907 hasRelatedWork W113810927 @default.
• W4366821907 hasRelatedWork W1964215666 @default.
• W4366821907 hasRelatedWork W1994731944 @default.
• W4366821907 hasRelatedWork W2043690967 @default.
• W4366821907 hasRelatedWork W2091437571 @default.
• W4366821907 hasRelatedWork W2348539212 @default.
• W4366821907 hasRelatedWork W2348809255 @default.
• W4366821907 hasRelatedWork W2375159187 @default.
• W4366821907 hasRelatedWork W2390961722 @default.
• W4366821907 hasRelatedWork W2943097693 @default.
• W4366821907 hasVolume "61" @default.
• W4366821907 isParatext "false" @default.
• W4366821907 isRetracted "false" @default.
• W4366821907 workType "article" @default.