Title

Reconstruction of Recurrent Rectocele with a Sling Pedicle Gracilis Muscle Flap: Case Report

Translated Titles

以股薄肌轉移皮瓣重建婦女嚴重直腸澎出復發病人之病例報告

DOI

10.7096/JPSA.200903.0060

Authors

陳俊嘉(Chun-Chia Chen);潘信誠(Shin-Chen Pan);李經維(Jing-Wei Lee);邱浩遠(Haw-Yen Chiu);周振陽(Chang-Yang Chou)

Key Words

gracilis muscle sling ; pelvic prolapse ; rectocele

PublicationName

中華民國整形外科醫學會雜誌

Volume or Term/Year and Month of Publication

18卷1期(2009 / 03 / 01)

Page #

60 - 65

Content Language

英文

Chinese Abstract

本文之目的為婦女嚴重之直腸澎出復發病人的重建提供另一項手術方法及治療後功能上及外觀上的結果。成大醫院提出一位病人因子宮骨盆疾病接受婦產科手術治療後,為直腸澎出困難治療的病例,接受股薄肌轉移手術重建。此為復發性直腸澎出之病患,術後追踪,我們發現預後良好,至目前為止,無皮瓣壞死及供皮區併發症的發生,同時,轉移的股薄肌狀況良好。它的優點是鄰近骨盆腔,大小適中,適應骨盆各種手術後重建,最重要的是能提供懸吊的支持功能,以防止直腸澎出的復發,且併發症少見。

English Abstract

Rectocele is common in elderly women. Herniation of the anterior rectal wall into the vaginal canal results from the weakness of rectovaginal fascia. The combined presence of local fibrosis and scarring makes the treatment of recurrent rectocele difficult. Herein, we present a complicated case of recurrent rectocele treated successfully with muscle sling using gracilis muscle flap. Postoperative outcome is acceptable with good muscle tone and absence of recurrence during 2 years OPD follow up.

Topic Category 醫藥衛生 > 外科