Milligan-Morgan痔切除术后Fournier坏疽需要行经腹会阴直肠切除术:1例病例报道
Fournier’s gangrene after Milligan-Morgan hemorrhoidectomy requiring subsequent abdominoperineal resection of the rectum: Report of a case作者机构:Department for Plastic Surgery Sarcoma Reference Center Ruhr University Bochum Bürkle de la Camp Platz 1 44789 Bochum Germany Dr.
出 版 物:《世界核心医学期刊文摘(胃肠病学分册)》 (Core Journals in Gastroenterology)
年 卷 期:2005年第1卷第3期
页 面:27-28页
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题:Fournier坏疽 痔切除术 肛周 清创术 全层皮肤 造口术 外科手术
摘 要:The development of Fourniers gangrene after Milligan Morgan hemorrhoidectomy of a previously healthy 76 year old female patient is described. After such a common surgical procedure, the patient developed full thickness skin necrosis of the perianal region including the rectum. Immediate radical debridement was mandatory. Because of rectal involvement, a diverting sigmoid colostomy was required. The rectum had to be removed by abdominoperineal resection. This disastrous complication was completely unexpected and unpredictable after Milligan Morgan hemorrhoidectomy because of the lack of predisposing factors.