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首页> 外文期刊>The American surgeon. >Lumbar Incisional Hernia Repair: Complete Reconstruction of the Deficient Myofascial Component Using Christmas Tree Bone Anchors
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Lumbar Incisional Hernia Repair: Complete Reconstruction of the Deficient Myofascial Component Using Christmas Tree Bone Anchors

机译：腰椎切口疝修复：使用圣诞树骨锚来完全重建缺陷的肌筋膜

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摘要

Lumbar incisional hernias are difficult to repair because one of the hernia margins is bone, namely, the iliac crest. Previous studies have described the use of orthopedic bone anchors that fix a mesh onto the iliac crest. We present a novel technique for open repair of large lumbar incisional hernias using a double-mesh technique in combination with suture-loaded bone anchors to reattach the abdominal wall musculature onto the iliac crest. The surgical technique involves creating a preperitoneal plane behind the transversus abdominus and above the iliac crest and iliacus, below the iliac crest, with application of a Prolene mesh in this layer. This is followed by the drilling of suture-loaded Christmas Tree bone anchors? along the rim of the iliac crest. The preloaded sutures are used to attach the myofascial component on the iliac crest, followed by the placement of a second Prolene mesh in an on-lay fashion. Drains are left in the preperitoneal and subcutaneous spaces. Unlike other reported techniques in the literature which only fix mesh onto the iliac crest, our technique with the use of Christmas Tree bone anchors? allows for complete reconstruction of the lumbar abdominal wall defect and its myofascial components.
机译：腰椎切口疝很难修复，因为疝气的边缘是骨头，即髂嵴。以前的研究已经描述了使用固定在髂嵴上的矫形骨锚。我们介绍了一种新颖的技术，用于使用双网格技术与缝合装载的骨架组合使用双网格技术进行开放修复，以将腹壁肌肉组合在髂嵴上。外科技术涉及在横向腹部和髂嵴上方的髂骨上方和髂嵴上方的孕产面，施用在该层中的脯氨酸网。其次是缝合缝合的圣诞树骨架钻孔？沿着髂嵴的边缘。预加载的缝合线用于在髂嵴上附着肌动臂组分，然后以换档方式放置第二脯氨酸网。排水管留在预付款和皮下空间中。与文献中的其他报告的技术不同，只能将网格固定到髂嵴上，我们使用圣诞树骨锚的技术？允许完全重建腰腹壁缺损及其肌菌组分。

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