PDF(Pubmed)
Abstract：
UNASSIGNED: The successful repair of any complex ventral hernia requires a thorough understanding of the underlying anatomical defect and its functional context. We describe an improved \"functional\" approach to CT imaging of the abdominal wall that can facilitate this understanding and assist surgical planning.
UNASSIGNED: This invited article reports the observational experience gained from the functional abdominal wall CT examinations of 88 patients who underwent complex ventral hernia repair using pre-operative Botulinum toxin A (BTA) infiltration of the lateral oblique abdominal muscles as well as a further eight patients with diastasis rectus abdominis who were examined to exclude ventral hernia.
UNASSIGNED: The use of a functional CT protocol which supplements resting images with additional \"crunching\" images (acquired with the abdominal wall muscles all strongly contracted) can significantly improve the demonstration of ventral hernia defects. Crunching acquisitions can also help differentiate true hernias from dysfunctional bulges, identify muscle denervation or atrophic changes, reveal otherwise occult hernias that may be missed on resting or Valsalva images alone, and assist the pre-operative assessment of BTA effect.
UNASSIGNED: A more functional approach to pre-operative CT imaging of the abdominal wall can significantly improve the understanding of complex ventral hernia defects and help formulate effective surgical plans that achieve low recurrence rates and good functional outcomes.
UNASSIGNED: This invited article reports the observational experience gained from the functional abdominal wall CT examinations of 88 patients who underwent complex ventral hernia repair using pre-operative Botulinum toxin A (BTA) infiltration of the lateral oblique abdominal muscles as well as a further eight patients with diastasis rectus abdominis who were examined to exclude ventral hernia.
UNASSIGNED: The use of a functional CT protocol which supplements resting images with additional \"crunching\" images (acquired with the abdominal wall muscles all strongly contracted) can significantly improve the demonstration of ventral hernia defects. Crunching acquisitions can also help differentiate true hernias from dysfunctional bulges, identify muscle denervation or atrophic changes, reveal otherwise occult hernias that may be missed on resting or Valsalva images alone, and assist the pre-operative assessment of BTA effect.
UNASSIGNED: A more functional approach to pre-operative CT imaging of the abdominal wall can significantly improve the understanding of complex ventral hernia defects and help formulate effective surgical plans that achieve low recurrence rates and good functional outcomes.
摘要：
UNASSIGNED：任何复杂的腹侧疝的成功修复都需要对潜在的解剖缺陷及其功能背景有透彻的了解。我们描述了一种改进的腹壁CT成像的“功能”方法，可以促进这种理解并协助手术计划。
UNASSIGNED：这篇特邀文章报道了88例患者的功能性腹壁CT检查的观察经验，这些患者使用术前肉毒杆菌毒素A（BTA）浸润腹侧斜肌进行了复杂的腹侧疝修补术，以及另外8例经检查排除腹侧疝的腹直肌扩张患者。
UNASSIGNED：使用功能性CT方案补充静息图像和额外的“挤压”图像（腹壁肌肉全部强烈收缩而获得）可以显着改善腹壁疝缺损的表现。紧缩的收购也可以帮助区分真正的疝气和功能失调的凸起，识别肌肉神经支配或萎缩性变化，仅在静息或Valsalva图像上可能会遗漏的隐匿性疝，并协助术前评估BTA效果。
UNASSIGNED：对腹壁进行术前CT成像的更多功能方法可以显着提高对复杂腹侧疝缺损的认识，并有助于制定有效的手术计划，从而实现低复发率和良好的功能结果。
UNASSIGNED：这篇特邀文章报道了88例患者的功能性腹壁CT检查的观察经验，这些患者使用术前肉毒杆菌毒素A（BTA）浸润腹侧斜肌进行了复杂的腹侧疝修补术，以及另外8例经检查排除腹侧疝的腹直肌扩张患者。
UNASSIGNED：使用功能性CT方案补充静息图像和额外的“挤压”图像（腹壁肌肉全部强烈收缩而获得）可以显着改善腹壁疝缺损的表现。紧缩的收购也可以帮助区分真正的疝气和功能失调的凸起，识别肌肉神经支配或萎缩性变化，仅在静息或Valsalva图像上可能会遗漏的隐匿性疝，并协助术前评估BTA效果。
UNASSIGNED：对腹壁进行术前CT成像的更多功能方法可以显着提高对复杂腹侧疝缺损的认识，并有助于制定有效的手术计划，从而实现低复发率和良好的功能结果。
