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Srpski arhiv za celokupno lekarstvo
2016, vol. 144, br. 9-10, str. 545-549
jezik rada: engleski
vrsta rada: prikaz
doi:10.2298/sarh1610545k
Hirurško lečenje sindroma amnionskih brida u jednom aktu - prikaz bolesnika
aUniversity of Novi Sad, Faculty of Medicine, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad
bUniversity of Novi Sad, Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Plastic and Reconstructive Surgery, Novi Sad
cUniversity of Novi Sad, Faculty of Medicine, Novi Sad + Institute of Oncology, Clinic for Operative Oncology, Sremska Kamenica

e-adresa: aleksandar.komarcevic@mf.uns.ac.rs

Sažetak

Uvod Sindrom amnionskih brida (ABS) retka je kongenitalna anomalija koju karakteriše pojava striktura najčešće na delovima ili celim ekstremitetima. U zavisnosti od stepena zahvaćenosti i tipa anomalije lečenje je konzervativno ili operativno. Prikaz bolesnika U radu je prikazan slučaj ročnog novorođenčeta sa ABS lokalizovanim na levoj nozi. U drugoj nedelji života se operativno koriguje anomalija na levoj potkolenici. Postoperativno dolazi do pojave edema u distalnom delu operisane potkolenice, što se lako rešava incizijom i drenažom. Dva meseca kasnije se operativno koriguje striktura leve natkolenice u jednom aktu, metodom multiple 'Z' plastike. Postoperativni tok protiče uredno, stanje na kontrolnom pregledu nakon dve godine je zadovoljavajuće. Zaključak Pristup pacijentima sa ovim sindromom trebalo bi da bude multidisciplinaran, posebno u pogledu dijagnostike, praćenja i lečenja. Operativni metod uklanjanja brida u jednom aktu je dao sasvim zadovoljavajući funkcionalni i estetski rezultat. S obzirom na brojne morfološke varijacije sindroma, odluka o planu lečenja treba da bude doneta individualno za svakog pacijenta.

Ključne reči

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