V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection
作者: George KokosisZhifei SunYash J. AvashiaMohamed A. AdamHoward LevinsonDetlev ErdmannChristopher R. MantyhJohn Migaly
作者单位: 1Department of Surgery, Duke University Medical Center, Durham, NC, USA
刊名: The American Journal of Surgery, 2017, Vol.213 (2), pp.371-376
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjsurg.2016.04.018
关键词: Abdominoperineal resectionV-y flapsFasciocutaneous flapsPerineal reconstruction
英文摘要: Abstract(#br)Background(#br)The aim of this study was to compare wound complications from V-Y flap vs primary closure in the setting of abdominoperineal resection.(#br)Methods(#br)This was a single institution retrospective review (1999–2014). The main outcome measures were any wound complication, hospital length of stay, and unplanned readmissions.(#br)Results(#br)Among 80 patients included, 21 (26%) received reconstruction with V-Y flap. Compared with those who received primary closure, patients who underwent V-Y flap reconstruction had lower rates of overall wound complications (14.3% vs 64%, P = .002), superficial surgical site infection (6% vs 32%, P = .05), and wound dehiscence (4.5% vs 14%, P = .251 statistical significance not met).(#br)Conclusions(#br)Reconstruction of perineal...
全文获取路径: Elsevier  (合作)
影响因子:2.516 (2012)

  • closure 闭合
  • perineal 会阴的
  • resection 后方交会
  • efficacious 有效
  • alternative 可选择的
  • primary 一次的
  • wound 
  • following 追踪
  • technique 技术