Reconstruindo a parede abdominal: o advento de uma técnica

Melo, Renata Marques de

doi:10.1590/s0100-69912010000600013

Cited by 4 publications

(5 citation statements)

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“…It can be a strategy for incisional hernia repair. Alcino-Lázaro defended that “the fate of the hernia sac could not remain the operative room’s bucket: it is an autogenous and resistant tissue readily available, and the bigger it is, the better!.” 20…”

Section: Discussionmentioning

confidence: 99%

Ventral incisional hernia case report: A therapeutic challenge

Leite

Pires

Chagas

2020

SAGE Open Medical Case Reports

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Incisional hernias are a very common condition and they still are considered to be a surgical challenge due to their recurrence rate. Smoking, obesity and age are risk factors for developing these abdominal wall defects. Despite recent advances in hernia repairs, the recurrence rates of hernias did not significantly diminished, even after the introduction of meshes. The aim of this article is to report a case of a ventral incisional hernia in a 37-year-old man and its successful treatment with a procedure known as the Alcino-Lázaro technique repair. This procedure has been shown to be very effective in incisional hernias, especially in obese patients. Furthermore, it is as cheap as it is reliable, since it can be performed without technological aid or expensive materials (mesh); thus, patients in low-income countries can greatly benefit from this procedure.

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Section: Discussionmentioning

confidence: 99%

Ventral incisional hernia case report: A therapeutic challenge

Leite

Pires

Chagas

2020

SAGE Open Medical Case Reports

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“…A peça cirúrgica consistia de dois fragmentos ósseos, sendo o inferior de aproximadamente 3cm em seu maior eixo, e o superior de 11cm (Figura 5). A hérnia incisional foi corrigida pela técnica de Lázaro da Silva 4 (transposição peritônio-aponeurótica longitudinal bilateral -TRANSPALB) e o paciente evoluiu sem outras complicações.…”

Section: Técnica Técnica Técnica Técnica Técnicaunclassified

“…Ossificação heterotópica em saco herniário incisional Ossificação heterotópica em saco herniário incisional Ossificação heterotópica em saco herniário incisional Ossificação heterotópica em saco herniário incisional Ossificação heterotópica em saco herniário incisional Heterotopic ossification in incisional hernia sac Heterotopic ossification in incisional hernia sac Heterotopic ossification in incisional hernia sac Heterotopic ossification in incisional hernia sac Heterotopic ossification in incisional hernia sac RENATO MIRANDA DE MELO, TCBC-GO 1 ; EDSON TADEU DE MENDONÇA 2 ; ERNESTO QUARESMA MENDONÇA 3 ; MATEUS QUARESMA MENDONÇA 4…”

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Ossificação heterotópica em saco herniário incisional

Melo¹,

Mendonça²,

Mendonça

et al. 2012

Rev. Col. Bras. Cir.

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The heterotopic ossification (HO) on abdominal scars is a rare but very unconfortable finding. It causes pain, induration and discomfort in the scar, leading patients to undergo reoperation. This report aims to describe a case of HO, and especially to call attention of surgeons to fibroblast transforming potential, once its close relationship with HO is undeniable. Therefore the surgeon should endeavor all atempts on good surgical practice to avoid HO occurrence. He should also associate pure tissue repair techniques to prosthetic management of incisional hernias, in the hope that patient's fibroblast grow factors can be offered to the wound healing as a biologically reinforcement of the repair.

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“…Therefore, it is likely that this recruitment would also improve wound healing, triggered by the multiple fibroblastic metaplasias 6 that occurred in these cells. This should happen with greater intensity in incisional hernia repairs that take full advantage of the HS, such as the hernial sac transposition (HST) technique, developed in Brazil in the early 1970s by Lazaro da Silva 7,8 . Since then, good results have been reported with this procedure, not just by its proponent 9-14 . However, how or why would this technique work so well, without the undeniable reinforcement of a mesh?…”

Section: Introductionmentioning

confidence: 99%

Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs

Melo

Neves

Menezes

2020

Rev. Col. Bras. Cir.

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Objective: the hernial sac is typically a bilayer structure consisting of connective tissue lined underneath by peritoneum. Some incidental findings on it, like smooth muscle cells and heterotopic ossification, can be explained as the end-stage metaplasia from undifferentiated cells. This study aimed to search for mesenchymal stem cells in the incisional hernial sac by an immuno-histochemistry screening test. Methods: fifteen specimens of them were submitted to histochemistry analysis using CD133 monoclonal antibodies, a specific marker of mesenchymal stem cells. The biopsies were obtained from patients submitted to pure tissue repair for incisional hernias - the transposition with the hernial sac technique (Lázaro da Silva, 1971). Results: two-thirds of the specimens expressed on average 20 (twenty) CD133+ cells in each one. Conclusion: despite the screening nature of this study, the hernial sac may be considered a source of stem cells. This could explain those abnormal findings, and perhaps the induction of new fibroblasts in procedures that use it to optimize wound healing.

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Reconstruindo a parede abdominal: o advento de uma técnica

Cited by 4 publications

References 2 publications

Ventral incisional hernia case report: A therapeutic challenge

Ventral incisional hernia case report: A therapeutic challenge

Ossificação heterotópica em saco herniário incisional

Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs

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