Histologia dos sacos herniários nas hérnias inguinais em adultos e crianças: presença de fibras musculares lisas e sua relação com o vaso sanguíneo

Laizo, Artur; Vasconcelos, Rafael Silveira; Gollner, Ângela Maria; Silva, Alcino Lázaro da

doi:10.1590/s0100-69912009000400009

Cited by 3 publications

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References 2 publications

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“…The tempting possibility of using the hernial sac as part of the incisional hernia repairs, associated with the relaxing of the incisions without damaging the abdominal wall was defended by Lázaro da Silva, more than 50 years ago [10][11][12]27 . Soft muscle fibers, vascular neoformation and heterotopic tissues were described as an autologous graft in the peritoneal hernial sac 28,30 . The primary fascial repairs let to unacceptable recurrence rates as high as 46% 6 .…”

Section: Case Presentationmentioning

confidence: 99%

Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description

SILVA

Melo

2021

Rev. Col. Bras. Cir.

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Incisional hernia is a late complication of the most frequent after abdominal surgeries, with resulting morbidity that can worsen the condition. The treatment has been done both by open techniques, using screens or not, and by laparoscopic and robotic methods, which use them systematically. However, introducing a permanent foreign body into the tissues requires more surgical time, despite not closing the parietal defect in most cases and a higher risk of infections. New technologies have been trying to improve these results, with absorbable prostheses (biological or synthetic), but their high cost and recurrences remain a severe problem. Even so, standard repair establishes reinforcement with screens, routine, and whether the approach is traditional or mini-invasive. The authors report their first case of endoscopic repair of incisional hernia, which occurred two years ago, with a Brazilian technique already fifty years old: the transposition with the hernia sac proposed by Prof. Alcino Lázaro da Silva in 1971.

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Section: Case Presentationmentioning

confidence: 99%

Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description

SILVA

Melo

2021

Rev. Col. Bras. Cir.

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The etiology of indirect inguinal hernia in adults: congenital or acquired?

Jiang

Yang

Liu

et al. 2014

Hernia

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Hernia sac preservation in large incisional ventral hernia to prevent anterior component release

Saini,

Lather,

Alla

et al. 2024

BMJ Case Rep

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Large ventral hernias require complex surgical techniques, such as component separation. We are presenting a case of an incisional hernia measuring 15×8 cm. The hernia was covered with an overlying thin layer of skin and hernia sac. The skin of this layer was densely adherent to the underlying hernial sac. Because of the thin hernial sac and adherent nature of the skin, approximately 3 cm of the hernial sac was preserved. We used this hernial sac as the anterior sheath ‘extension’ for a tension-free closure. Posterior component separation with transverse abdominis muscle release was done to close the posterior layer without tension and to place a 23×16 cm mesh in the retrorectus plane. By using the hernial sac in repair, we avoided anterior component separation and achieved tension-free closure of the anterior layer.

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Histologia dos sacos herniários nas hérnias inguinais em adultos e crianças: presença de fibras musculares lisas e sua relação com o vaso sanguíneo

Abstract: The majority of smooth muscles fibers would be proper of the hernial sac independent of the smooth muscles fibers of the blood vessels.

Cited by 3 publications

References 2 publications

Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description

Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description

The etiology of indirect inguinal hernia in adults: congenital or acquired?

Hernia sac preservation in large incisional ventral hernia to prevent anterior component release

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