Staged repair of massive incisional hernias with loss of abdominal domain: a novel approach

Lipman, Jeremy M.; Medalie, Daniel A.; Rosen, Michael J.

doi:10.1016/j.amjsurg.2007.02.017

Cited by 56 publications

(21 citation statements)

References 19 publications

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“…In refractory CD, the IELs have been found to be abnormal expressing only intracytoplasmic CD3 but not surface CD8 [18]. This aberrant clonal intraepithelial T cell population is however found only in 75% of cases of refractory celiac disease [19].…”

Section: Discussionmentioning

confidence: 99%

Extensive Pneumatosis Intestinalis in Association With Celiac Disease: A Case Report

Dayal¹

2011

J Med Cases

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Pneumatosis intestinalis (PI) is generally regarded as a worrying sign due to its relatively frequent association with serious conditions such as acute gastrointestinal necrosis. While PI can also be associated with a wide spectrum of benign conditions, its diagnosis as benign is usually accepted with the exclusion of gangrenous bowel, even in the absence of other clinical signs suggesting ischemia. We report a case of extensive PI in a patient with celiac disease and discuss its management and the role of diagnostic laparoscopy in this condition with emphasis on the different etiologies of PI.

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Section: Discussionmentioning

confidence: 99%

Extensive Pneumatosis Intestinalis in Association With Celiac Disease: A Case Report

Dayal¹

2011

J Med Cases

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“…Given the serious and possible postoperative complications of surgical treatment are authors that restrict the indication for surgery for patients with severe skin lesions, obstruction, recurrent intestinal sub-occlusion or marked reduction in the quality of life 15,24 .…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…Ideally, the abdominal wall reconstruction in patients with large HIA and with loss of "housing rights", should allow the re-introduction of the abdominal viscera without inducing the collapse of the physiological compartment syndrome of the abdomen while making the abdominal wall complacent functional and dynamicaly 15 .…”

Section: Operative Strategymentioning

confidence: 99%

“…Over the peritoneum or the polyglactin 910 prosthesis, two polypropylene prosthesis are placed in the preperitoneal space, in retromuscular position and fixed inferiorly to Cooper ligament, superiorly to the ribs and laterally in the muscles with transparietal sutures. Lipman, et al 15 in these major defects proposed operation in stages; initially put a PTFEe graft attached at the edges of the hernia ring and over it the sub-dermal skin. Around 4 or 5 days after surgery, patients return to the operating room, the incision is reopened to remove a 3-4 cm fusiform zone from the prosthesis; then it is closed again at skin edges; this procedure is repeated until only 3-4 cm of the prosthesis is left on.…”

Section: Figur3 3 -Seroma After Correction Of Large Epigastric Herniamentioning

confidence: 99%

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Grandes hérnias incisionais

Speranzini¹,

Deutsch

2010

ABCD, arq. bras. cir. dig.

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-Background -The correction of abdominal hernias remains one of the most common surgical procedures since it occurs in about 11% of laparotomies. There are several risk factors. Arise, in general, the first five years after the operation and their management is controversial. Aim -Update the means and methods for surgical repair of giant abdominal hernias. Method -Literature review based on PubMed, Lilacs and Scielo with crossing the keywords "abdominal hernia, prostheses, surgical techniques and complications", and adding its own contribution based on the authors' experience in handling this condition. Conclusion -Even the successful correction with the use of large prostheses, may happen procedure inconvenient, because the abdominal wall does not resume its elasticity and compliance at the normal. For this reason, it is important that the patient be advised of the possibility of their expectations regarding the outcome, both aesthetic and functional, not be achieved.RESUMO -Introdução -A correção de hérnias incisionais abdominais permanece como um dos procedimentos cirúrgicos mais comuns uma vez que ela ocorre em cerca de 11% das laparotomias. Vários são os fatores de risco. Surgem, em geral, nos primeiros cinco anos após a operação e seu manuseio ainda é controverso. Objetivo -Atualizar os meios e métodos empregados para a correção cirúrgica das hérnias abdominais gigantes. Método -Revisão da literatura com base no Pubmed, Scielo e Lilacs com cruzamento dos descritores "hérnia abdominal, próteses, complicações e técnicas cirúrgicas", e adicionando contribuição própria baseada na experiência dos autores no manuseio desta afecção. Conclusão -Mesmo as correções bem sucedidas, com a utilização ou não de grandes próteses, não são os procedimentos isentos de inconvenientes, pois a parede abdominal não retoma a sua elasticidade e complacência normais. Por este motivo, é importante que o paciente seja alertado da possibilidade da sua expectativa em relação ao resultado, tanto estético quanto funcional, não ser alcançada.

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“…Die sukzessive Adaptation einer in den De fekt implantierten GoretexProthese apro ximiert die retrahierten Bauchdecken bis auf 3-4 cm. Der definitive Bauchdecken verschluss erfolgt nach dem Netzausbau mittels der Komponentenseparationstech nik ("release") [22]. Diese Technik bietet auch bei kontaminierter Abdominalwand den Vorteil eines einzeitigen Abdominal verschlusses bei einer akzeptablen Rezi divrate von 8% [41].…”

Section: Tab 4 Rezidive Nach Narbenhernienreparation Mittels Komponeunclassified

Bauchdeckenverschluss bei Narbenhernien und Herniationen nach Laparostoma

Mischinger

Kornprat

Werkgartner

et al. 2010

Chirurg

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As hernias and abdominal wall defects have a variety of etiologies each with its own complications and comorbidities in various constellations, efficient treatment requires patient-oriented management. There is no recommended standard treatment and the very different clinical pictures demand an individualized interdisciplinary approach. Particularly in the case of complicated hernias, the planning of the operation should focus on the problems posed by the individual patient. Treatment mainly depends on the etiology of the hernia, immediate or long-term complications and the efficiency of individual repair techniques. Abdominal wall repair for recurrent herniation requires direct closure of the fascia generally using the sublay technique with a lightweight mesh. It is still unclear whether persistent inflammation, mesh dislocation, fistula formation or other long-term complications are due to certain materials or to the surgical technique. With mesh infections it has been shown to be advantageous to remove a polytetrafluoroethylene (PTFE) mesh, while the combination of systemic and local treatment appears to suffice for a polypropylene or polyester mesh. Heavier meshes in the sublay position or plastic reconstruction with autologous tissue are indicated as substitutes for the abdominal wall for giant hernias, repeated recurrences and large abdominal wall defects. A laparostoma is increasingly more often created to treat septic intra-abdominal processes but is very often responsible for a complicated hernia. If primary repair of the abdominal wall is not an option, resorbable material or split skin is used for coverage under the auspices of a planned hernia repair.

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Staged repair of massive incisional hernias with loss of abdominal domain: a novel approach

Cited by 56 publications

References 19 publications

Extensive Pneumatosis Intestinalis in Association With Celiac Disease: A Case Report

Extensive Pneumatosis Intestinalis in Association With Celiac Disease: A Case Report

Grandes hérnias incisionais

Bauchdeckenverschluss bei Narbenhernien und Herniationen nach Laparostoma

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