Component separation of abdominal wall with intraoperative botulinum A presents satisfactory outcomes in large incisional hernias: a case report

Oliveira, Lucas Torres; Essu, Felipe Futema; Mesquita, Gustavo Heluani Antunes de; Jardim, Yuri Justi; Iuamoto, Leandro Ryuchi; Suguita, Fábio Yuji; Martines, Diego; Nii, Fernanda; Waisberg, Daniel Reis; Meyer, Alberto; Andraus, Wellington; D’Albuquerque, Luiz Augusto Carneiro

doi:10.1016/j.ijscr.2017.09.037

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…However, the extensive release of the subcutaneous tissue sharply increases complications related to the wound, reaching rates higher than 60% [ 27 ]. In response to this problem, several variations of CS have been described, including the release of the rectus abdominis sheath alone or in combination with the release of the transverse abdominal [ 28 ] and the use of botulinum toxin injection into the oblique muscles to perform a temporary relaxation of the components [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Techniques for Closing the Abdominal Wall in Intestinal and Multivisceral Transplantation: A Systematic Review

et al. 2022

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Short bowel syndrome is the most common etiology of intestinal failure, resulting from either resections of different intestinal segments or a congenital condition. Due to the absence or considerable reduction of intestinal loops in the abdominal cavity, patients with short bowel syndrome present with atrophy and muscle retraction of the abdominal wall, which leads to loss of abdominal domain and elasticity. This complication is an aggravating factor of intestinal transplantation since it can prevent the primary closure of the abdominal wall. A vast array of surgical techniques to overcome the challenges of the complexity of the abdominal wall have been described in the literature. The aim of our study was to review the modalities of abdominal wall closure in intestinal/multivisceral transplantation. Our study consisted of a systematic review following the methodological instructions described in the PRISMA guidelines. Duplicate studies and studies that did not meet the criteria for the systematic review were excluded, especially those without relevance and an explicit relationship with the investigated theme. After this step, 63 articles were included in our study. The results obtained with these techniques have been encouraging, but a high incidence of wound complications in some reports has raised concerns. There is no consensus among transplantation centers regarding which technique would be ideal and with higher success rates and lower rates of complications.

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Section: Discussionmentioning

confidence: 99%

Techniques for Closing the Abdominal Wall in Intestinal and Multivisceral Transplantation: A Systematic Review

et al. 2022

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“…The incisional hernia is often common delayed complication following laparotomies surgeries. Some comorbidities such as diabetes, obesity, male sex, advanced age, incision type, immunosuppression therapy, wound infection and pulmonary complications are considered risk factors for incisional hernia development 9,10 . Closure of the abdominal wall with low tension with the use of mesh is the standard treatment for correcting this type of hernia 5 .…”

Section: Discussionmentioning

confidence: 99%

“…BTA is a therapeutic complementary treatment to decrease the suture tension and consequently the hernia recurrences rate. The flaccid muscular paralysis, provoked by this neurotoxin, takes effect from two days after application and lasts for 6-9 months 10 . It reduces the thickness of the abdominal wall, increasing its length, allowing hernia reduction and therefore allowing closure with less tension.…”

Section: Discussionmentioning

confidence: 99%

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Chemical components separation with the use of Botulinum toxin A

Mesquita

Jardim

Martines

et al. 2018

Rev. Med. (São Paulo)

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Introdução: Hérnias ventrais são um resultado prevalente de cirurgias abdominais que podem representar um desafio cirúrgico em casos complexos, principalmente devido à tensão na musculatura da parede abdominal. A falha na correção cirúrgica pode levar a necessidade de um tratamento mais mórbido, além de um considerável impacto socioeconômico. Para que o risco de complicações seja menor, o uso da toxina botulínica A (TBA) pode ser uma alternativa pré-operatória para reduzir a tensão da parede abdominal, através de uma paralisia sustentada e reversível. Esta revisão crítica da literatura propõe avaliar o uso adjacente de TBA em correções de hérnias ventrais cirúrgicas. Métodos: Usando o banco de dados PubMed, as palavras-chave “ventral hernia” e “botullinum toxin” foram pesquisadas usando o operador “AND”. Os artigos foram selecionados com base em sua relevância e informações atualizadas. Os desfechos de interesse incluíram a mudança na largura do defeito da hérnia ventral e no comprimento do músculo da parede abdominal lateral, dor, recidiva de hérnia e complicações. Resultados: Foram encontrados 20 artigos de 2009 a 2018. Foram excluídos artigos devido à técnica irrelevante, uso de modelos animais e falta de dados sobre resultados. Redução da espessura da parede abdominal aumentando seu comprimento, menos dor perioperatória, redução de hérnia e correção com menos tensão foram observados após o uso da injeção de BTA. Nenhuma complicação ocorreu durante as aplicações. Conclusão: O uso de TBA parece ser uma alternativa promissora no manejo de hérnias ventrais devido à sua capacidade de reduzir a tensão na parede abdominal. No entanto, mais estudos são necessários para determinar a eficácia deste método.

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Botulinum Toxin Aided Hernia Repair

Tejirian

Yeung

2019

Robotic Assisted Hernia Repair

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Component separation of abdominal wall with intraoperative botulinum A presents satisfactory outcomes in large incisional hernias: a case report

Cited by 7 publications

References 22 publications

Techniques for Closing the Abdominal Wall in Intestinal and Multivisceral Transplantation: A Systematic Review

Techniques for Closing the Abdominal Wall in Intestinal and Multivisceral Transplantation: A Systematic Review

Chemical components separation with the use of Botulinum toxin A

Botulinum Toxin Aided Hernia Repair

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