abdominal wall defects

腹壁缺损
  • 文章类型: Case Reports
    先天性腹壁缺损的发生率正在增加,但在非洲人口中报道的病例很少。
    作者报告了一例足月新生儿腹裂病例,该新生儿在远程医疗机构通过自发阴道分娩(SVD)分娩,然后转移到乌干达的三级医院。虽然没有环境暴露于致畸剂,胃裂的主要危险因素,新生儿出生体重低,艾滋病毒暴露,母亲在孕早期没有补充叶酸,已知的腹裂危险因素。体格检查除了发现腹壁缺损外,还发现宫内生长受限。
    在这种情况下,由于新生儿的基本护理延迟而错过了许多机会,延迟手术修复,并转移到三级外科中心。在三级外科中心,采用延迟二次闭合的改良筒仓技术修复缺损,但是新生儿在完成生命的第七天之前仍然遇到了死亡。
    这起腹裂病例表明,在资源有限的环境中,对出生时患有严重先天性结构异常的新生儿的诊断和治疗仍然是可取的,因为缺乏先进的医疗服务来帮助在怀孕期间的早期发现和出生时的早期手术干预,以防止相关的死亡率。作者讨论了经验教训,并为改善腹壁缺陷和其他先天性出生缺陷新生儿的护理提供了建议。
    UNASSIGNED: The incidence of congenital abdominal wall defects is increasing, but few cases have been reported in the African population.
    UNASSIGNED: The authors report a case of gastroschisis in a term neonate who was delivered through spontaneous vaginal delivery (SVD) in a remote health facility before transfer to a tertiary hospital in Uganda. Although there was no environmental exposure to teratogens, the major risk factor of Gastroschisis, the neonate was low birth weight, HIV-exposed, and the mother had not received folic acid supplementation during the first trimester, known risk factors of gastroschisis. Physical examination revealed intrauterine growth restriction in addition to the findings of the abdominal wall defect.
    UNASSIGNED: There were many missed opportunities in the management of this case which was marred by delayed essential care of the newborn, delayed surgical repair, and transfer to the tertiary surgical centre. At the tertiary surgical centre, a modified silo technique with delayed secondary closure was used to repair the defect, but the neonate still met its death before completing day 7 of life.
    UNASSIGNED: This case of gastroschisis shows how the diagnosis and management of neonates born with major congenital structural abnormalities in resource-limited settings is still desirable due to lack of sophisticated medical care services to assist in early detection during pregnancy and early surgical intervention at birth to prevent associated mortality. The authors discuss the lessons learnt and provide recommendations for improvement in the care of neonates born with abdominal wall defects and other congenital birth defects.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    UNASSIGNED: The present study is conducted to introduce a common disease of abdominal wall which has received less attention in scientific resources. In traditional medicine sources Some scholars believe that this condition occurs due to the movement of the abdominal muscle near the umbilicus or nave laterally movement of nave.
    UNASSIGNED: A case series study.
    UNASSIGNED: the study did not receive any funding. This study was a case series study. The study population was all patients who following repeated hospital visits did not improve, and for their last try, they visited a traditional clinic, and were diagnosed with umbilical hernia during a period of 5 months. Data were collected using demographic information questionnaire, and a complete health history taking.
    UNASSIGNED: nave sliding is an abdominal wall defect and gastrointestinal and psychological problems are listed as the most prominent sign and symptoms. higher body mass index and presence of a first-degree relative with the same problem could be a predictor factor.
    UNASSIGNED: Nave sliding is a common disease that there are a few scientific literatures about it and needs more attention from clinicians to avoid false diagnoses and requires more academic research to clarify any ambiguous side about it to promote the treatment process in a more scientific and approved methods.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Journal Article
    同时存在Omphalocele和Meckel憩室并非闻所未闻,但相对罕见。已经报道了一些它们共存的情况。由于不常见的双重演示,很容易延误甚至错过诊断,拖延管理。如果脐膨出有肠口,应考虑Meckel憩室。
    方法:在这里,我们介绍了一名初生男婴,他被转诊给我们,表现为漏出粪便的脐膨出。婴儿也有唇裂和腭裂。他在足月出生时是一位30岁的母亲,母亲的怀孕本来是正常的。吻合的脐膨出经手术修复,孩子继续做得很好。
    脐膨出和Meckel憩室都是相对罕见的先天性畸形,并不常见。其他先天性畸形可能相关;因此,在有资源的情况下,应进行彻底的调查。寻找相关的畸形不应延迟病理的管理,因为它可能对儿童的健康和结果产生严重后果。
    结论:Meckel憩室在脐膨出时很少见。治疗包括手术切除和修复。尽管应该调查其他合并症,病因和其他合并症的调查不应延误手术。
    UNASSIGNED: The concurrent existence of Omphalocele and Meckel\'s diverticulum is not unheard of but is relatively uncommon. A few cases of their coexistence have been reported. Due to the uncommon dual presentation, it is easy to delay or even miss the diagnosis, delaying management. Meckel\'s diverticulum should be considered if there is a bowel opening on an omphalocele.
    METHODS: Herein we present a newborn male baby who was referred to us presenting with an omphalocele that was leaking faeces. The baby also had a cleft lip and palate. He was born at term to a 30-year-old mother whose pregnancy was otherwise normal. The fistulated omphalocele was surgically repaired, and the child continued to do well.
    UNASSIGNED: Omphalocele and Meckel\'s diverticulum are both relatively rare congenital malformations that are uncommonly present together. Other congenital malformations can be associated; hence thorough investigations should be carried out when resources are available. The search for associated malformation should not delay the management of the pathology as it can have serious consequences on the health and outcome of the child.
    CONCLUSIONS: Fistulation of Meckel\'s diverticulum on an Omphalocele is rare. Treatment involves surgical resection and repair. Though other co-morbidities should be investigated, investigation for cause and other co-morbidities should not delay surgery.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Case Reports
    UNASSIGNED: Minimally invasive techniques are now routine in complex abdominal wall defects repair. Although laparoscopy allows to reduce post-operative pain, promoting a more rapid recovery and shortening hospital stay, it is associated with risk of bowel injury and adhesions development, when intraperitoneal mesh is placed. We report the case of a patient affected by large recurrent incisional hernia, treated with a new hybrid endoscopic approach.
    UNASSIGNED: Patient treated with the novel approach is a 53-year-old male, BMI 27, smoker, with epigastric recurrence of incisional hernia and prosthetic fistula. An endoscopic preaponeurotic subcutaneous access was used. Repair with sublay mesh, bilateral anterior component separation and muscular reinsertions was conducted. Three months after surgery, no signs of recurrence were observed and complete functional recovery had been achieved.
    UNASSIGNED: The new technique adopted benefits from all the advantages of minimally invasive surgery, allowing to avoid risks associated with laparoscopic access. Bilateral anterior component separation with muscular reinsertions is the key for tension-free suture.
    UNASSIGNED: To our knowledge, this is the first time that a complex recurrent incisional hernia is repaired with the hybrid technique aforementioned. The approach used is certainly technically challenging, thus requiring a team skilled in the use of laparoscopy. Good outcomes reported are a further demonstration that minimally invasive surgery can be a valid alternative to traditional open techniques for large abdominal wall defects repair.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Case Reports
    本文报道了术前使用肉毒杆菌毒素治疗复杂的腹侧疝,通常使用成分分离技术进行治疗。该病例表明,使用最近开发的技术可以帮助进行无张力疝修补术,并可能降低并发症和复发率。
    This article reports on the use of Botox preoperatively for the treatment of a complex ventral hernia which would have typically been treated with component separation technique. The case demonstrates that using the recently developed technique can aid in performing a tension-free hernia repair with potentially lower complication and recurrence rates.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Case Reports
    Open abdomen management is commonly used for the critically injured patients to avoid abdominal compartment syndrome. But it usually continues for days to weeks and finally results in abdominal wall defect that is too wide to close at once. This article presents an alternative approach to close the giant abdominal wall defect by using the combination of bipedicled flaps with the components separation technique and V.A.C.® system.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

公众号