Experiencia inicial en la reparación de hernias incisionales/ventrales por laparoscopia en una unidad de cirugía mayor ambulatoria y de corta estancia (UCMA-CE)

Abdel-Lah, O.; García-Moreno, F.J.; Gutiérrez-Romero, José Ramón; Calderón, Francisco

doi:10.1016/s0009-739x(05)70827-7

Cited by 11 publications

(4 citation statements)

References 12 publications

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“…O método cirúrgico de hernioplastia utilizado, neste caso, foi a aplicação de tela via laparoscopia. A técnica de correção de hérnias por este método é comum na medicina, mostrando bons resultados e vantagens sobre as técnicas cirúrgicas convencionais abertas, como a diminuição do tempo de hospitalização, menor dor pós-operatória, recuperação mais rápida e baixas taxas de complicações e recorrência [1,12,16,18]. Na cirurgia equina, a técnica é pouco relatada, sendo encontrados apenas três descrições, nenhuma delas realizadas no Brasil.…”

Section: Discussionunclassified

Hernioplasty with Laparoscopy Mesh Application in Equine with Incisional Hernia

Gomes

Rosa

Lorga

et al. 2021

Acta Scientiae. Vet.

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Background: Incisional hernia in the midline can be a consequence of abdominal surgeries, which incidence is around 5.7-18%. Surgical indication occurs in cases of large hernias, and the most common techniques used involve the closing of the musculature in a primary way, with sutures, and the implantation of a mesh on the abdominal wall. Laparoscopic hernioplasty emerged as a less invasive option, showing superiority when compared with open surgical techniques in human medicine, however there are few reports describing this technique in equines. So, the aim of this paper is to report a case of hernioplasty, using laparoscopic mesh, in a horse with midline incisional hernia.Case: A 13-year-old castrated male Brasileiro de Hipismo horse, weighing 415 kg, practitioner of classic equestrian, presented an incisional hernia after 14 days from an exploratory laparotomy surgery realized to treat colic syndrome. After 6 months, the patient was referred to a Veterinary Medicine Teaching Hospital for the correction of the defect in the abdominal wall. During palpation, the animal did not present local pain or other sign of inflammation, and the hernia measured approximately 20 cm in diameter. The animal was submitted to general anesthesia and placed in dorsal decubitus for the hernioplasty surgical procedure. An incision was made in cranial region of the midline, close to the xiphoid to introduce a single port; the abdomen was inflated with CO2 gas (12 mmHg) and the operating table was tilted in order to displace the organs cranially, facilitating the laparoscopic procedure. The abdomen was inspected and the presence of a single adherence could be observed, which was disrupted with endoscopic forceps. The mesh was introduced through the single port incision and anchored to the musculature, using polypropylene 2 following the marking points previously performed on the implant, covering the defect in the abdominal musculature. In the postoperative period, analgesia was instituted with non-steroidal anti-inflammatory drugs, antibiotic therapy with intravenous benzylpenicillin potassium+gentamicin sulfate, and daily dressings. The animal showed pain responsive to the instituted analgesia in the first 24-72 h after surgery. The discharge was established after 18 days of hospitalization with the recommendation of daily dressings and use of compressive bandage until the complete healing of the wound. Postoperative complications resulting from the laparoscopic hernioplasty technique was not observed in this case.The hernia reduction was satisfactory, with a good aesthetic result after five months, when the animal resumed its athletic activities.Discussion: Laparoscopy hernioplasty is poorly described in equine medicine, and there are no reports of this procedure performed in Brazil, however, it is widely used in human medicine with results superior to open hernioplasty techniques. In the present case and in others reported in the literature, the laparoscopic technique proved to be effective in reducing incisional hernias in horses. The animals had good regression of the hernia sac and the aesthetic result was satisfactory, with few post-surgical complications. In studies in which the open hernioplasty technique was used, there was a higher occurrence of complications, in addition to more intense pain resulting from the procedure and later return to athletic activity, demonstrating that the minimally invasive technique by video surgery can be advantageous.

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Section: Discussionunclassified

Hernioplasty with Laparoscopy Mesh Application in Equine with Incisional Hernia

Gomes

Rosa

Lorga

et al. 2021

Acta Scientiae. Vet.

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“…La cirugía laparoscópica ha hecho posible la introducción de nuevas técnicas quirúrgicas para la reparación de los defectos herniarios de la pared abdominal sobre todo en hernias incisionales y ventrales [11], lo que ha propiciado que los resultados de la realización de este procedimiento en un Centro de Salud tipo B sean reportados por primera vez.…”

Section: Discussionunclassified

“…En la serie de pacientes presentada, existieron complicaciones en aproximadamente 15 % de los pacientes, entre ellas, la tasa de conversión (secundaria a adherencias) representó 4.76 % y el dolor un 9.52 %; siendo frecuencias menores a las reportadas en estudios de seguimiento [1,11,12]; lo cual confirma que la reparación laparoscópica es considerada cada vez más como una opción viable para disminuir la estancia hospitalaria y complicaciones en los pacientes con hernia abdominal [2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Discussionunclassified

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Estudio Descriptivo: Caracterización Clínica de Hernias Ventrales e Incisionales Sometidas a Reparación Laparoscópica en el Centro de Salud Tipo B del IESS – La Troncal, 2013 - 2016

Jaramillo¹,

Lucero²,

Vivar³

et al. 2017

Rev Med HJCA

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23 RESUMENOBJETIVO: Describir las características clínicas de los pacientes con diagnóstico de hernia ventral e incisional intervenidos para resolución con cirugía laparoscópica y los resultados obtenidos. MÉTODO:Se incluyeron los pacientes sometidos a reparación laparoscópica de hernias ventrales e incisionales realizadas durante el periodo entre enero de 2013 hasta Diciembre de 2016. Las variables de estudio fueron: sexo, edad, tipo de hernia, diámetro de la hernia, sín-toma principal y complicaciones transoperatorias y postoperatorias. RESULTADOS:Se incluyeron 21 pacientes, predominó el sexo masculino (52.38 %) y los grupos de edad más frecuentemente afectados estuvieron entre 50 y 69 años de edad (80.95 %). El 52.38 % de pacientes tuvieron un diagnóstico de hernia incisional y el 57.15 % de los defectos herniarios tuvieron un tamaño mayor a 10 cm (: 11.80 ±4.06 cm). La tasa de conversión fue del 4.76 % y el 9.52 % (n=2) de los pacientes refirió continuar con dolor luego de 3 y 6 meses después de la cirugía.CONCLUSIÓN: Las características de los pacientes intervenidos fueron similares a las reportadas en la bibliografía disponible, la experiencia en la resolución laparoscópica de hernias ventrales e incisionalesen el Centro de Salud tipo B IESS de La Troncal fue satisfactoria. *DESCRIPTORES DeCS AIM: To describe clinical characteristics of patients diagnosed with ventral and incisional hernias treated with laparoscopic surgery and its results. METHODS: The study included patients who underwent laparoscopic surgery to treat ventral and incisional hernias which were performed from

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