CLOSURE OF A PERINEAL SINUS CONNECTED WITH THE SMALL-BOWEL DEVELOPING AFTER RADICAL SURGERY FOR RECTAL-CARCINOMA - A REPORT OF THE OPERATIVE PROCEDURES USED IN 2 CASES

被引：0

作者：

IIDA, F

ADACHI, W

机构：

[1] The Second Department of Surgery, Shinshu University School of Medicine, Matsumoto, 390

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1993年 / 23卷 / 05期

关键词：

PERINEAL SINUS; RECTUS-ABDOMINIS MUSCLE FLAP; INTESTINAL FISTULA; RECTAL CARCINOMA;

D O I：

10.1007/BF00309506

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A technique for closure of a perineal sinus connected with the small bowel is described herein. One patient who underwent Miles' operation and another who underwent total pelvic exenteration for rectal carcinoma developed a perineal sinus through which a large amount of intestinal fluid was discharged. The pelvic orifice of the sinus was successfully closed in both patients using a right rectus abdominis muscle flap. In one patient, the muscle flap was reflected with the peritoneal surface inside and fixed to the pelvic floor covering the pelvic orifice of the sinus. In the other patient, the flap was isolated without the attached peritoneum and the peritoneal side of the flap covered with omentum.

引用

页码：455 / 457

页数：3

共 7 条

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