Tratamento cirúrgico das hérnias incisionais: experiência pessoal usando a malha de polipropileno monofilamentar-márlex

Lima, José Moreira

doi:10.1590/s0100-69912002000200004

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…The use of polypropylene mesh in various abdominal wall defects is common 1 . In our country, in dire financial constraints for public health sustainability, the search for new therapeutic alternatives, associated or isolated, is very important.…”

Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

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Use of the amniotic membrane to cover the peritoneal cavity in the reconstruction of the abdominal wall with polypropylene mesh in rats

Barbuto

Araújo

Bonomi³

et al. 2015

Rev. Col. Bras. Cir.

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Use of the amniotic membrane to cover the peritoneal cavity in the reconstruction of the abdominal wall with polypropylene mesh in rats Use of the amniotic membrane to cover the peritoneal cavity in Use of the amniotic membrane to cover the peritoneal cavity in Use of the amniotic membrane to cover the peritoneal cavity in Use of the amniotic membrane to cover the peritoneal cavity in Use of the amniotic membrane to cover the peritoneal cavity in the reconstruction of the abdominal wall with polypropylene the reconstruction of the abdominal wall with polypropylene the reconstruction of the abdominal wall with polypropylene the reconstruction of the abdominal wall with polypropylene the reconstruction of the abdominal wall with polypropylene mesh in rats mesh in rats mesh in rats mesh in rats mesh in rats Uso da membrana amniótica como cobertura da cavidade abdominal na Uso da membrana amniótica como cobertura da cavidade abdominal na Uso da membrana amniótica como cobertura da cavidade abdominal na Uso da membrana amniótica como cobertura da cavidade abdominal na Uso da membrana amniótica como cobertura da cavidade abdominal na reconstrução da parede com tela de polipropileno em ratos reconstrução da parede com tela de polipropileno em ratos reconstrução da parede com tela de polipropileno em ratos reconstrução da parede com tela de polipropileno em ratos reconstrução da parede com tela de polipropileno em ratos Objective Objective: to evaluate the efficacy of the amniotic membrane used with polypropylene mesh against the formation of adhesions and its influence on healing. Methods Methods Methods Methods Methods: twenty five female Wistar rats were anesthetized for creating a parietal defect in the anterior abdominal wall. Its correction was made with polypropylene mesh alone and associated with amniotic membrane. In the control group (n=11), the screen was inserted alone. In group A (n=7) we interposed the amniotic membrane between the screen and the abdominal wall. In group B, the amniotic membrane was placed on the mesh, covering it. After seven days, the animals were euthanized for macroscopic and microscopic evaluation of healing. Results Results ResultsResults Results: adhesions were observed in all animals except one in the control group. Severe inflammation was observed in all animals in groups A and B and in three of the control group, with significant difference between them (A and B with p=0.01). Pronounced angiogenic activity was noted in one animal in the control group, six in group A and four in group B, with a significant difference between the control group and group A (p=0.002) and group B (p=0.05). The scar collagen was predominantly mature, except in five animals of the control group, with significant difference between the control group and group A (p=0.05) and group B (p=0.05). Conclusion Conclusion Conclusion Conclusion Conclusion: The amniotic membrane did not alter the formation of adhesions in the first postoperative week. There were also pronounced inflammation, high angiogenic activit...

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Section: Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Lima 1 described that Kozoll and McVay reported incidence of incisional hernia in 5.7% of laparostomies performed in private hospitals and 11.1% in public hospitals.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Use of the amniotic membrane to cover the peritoneal cavity in the reconstruction of the abdominal wall with polypropylene mesh in rats

Barbuto

Araújo

Bonomi³

et al. 2015

Rev. Col. Bras. Cir.

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“…The literature report subcostal hernia incidence between 4% and 20% 12,[14][15][16] . Regarding the technical choice for supra-aponeurotic fixation of the mesh, therefore in contact with the subcutaneous tissue, it was due to the greater ease of abdominal wall reconstruction in a single plane, not resecting the hernia sac, just internalizing it below the synthesis.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results

Peres

Aguiar

Andreollo

2014

Rev. Col. Bras. Cir.

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OBJECTIVE: To evaluate the results of subcostal incisional hernia repair using polypropylene mesh, the technical aspects of musculo-aponeurotic reconstruction, routine fixation of supra-aponeurotic mesh and follow-up for five years.METHODS: We conducted a retrospective study that assessed 24 patients undergoing subcostal incisional hernia repair with use of polypropylene mesh; 15 patients (62.5%) were female; ages ranged from 33 to 82, and 79.1% had comorbidities.RESULTS: Early complications: three cases (12.5%) of wound infection, three cases (12.5%) of seroma, one case (4.1%) of hematoma; and one case (4.1%) of wound dehiscence. Late complications occurred in one case (4.1%) of hernia recurrence attributed to technical failure in the fixation of the mesh and in one case (4.1%) of chronic pain. There were no cases of exposure or rejection of the mesh.CONCLUSION: The subcostal incisional hernia, though not very relevant, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene mesh, with less complexity and lower rates of complications and recurrences.

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Stepwise transversus abdominis muscle release for the treatment of complex bilateral subcostal incisional hernias

Miguel-Méndez

López-Monclús

Rodríguez

et al. 2021

Surgery

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Tratamento cirúrgico das hérnias incisionais: experiência pessoal usando a malha de polipropileno monofilamentar-márlex

Cited by 3 publications

References 7 publications

Use of the amniotic membrane to cover the peritoneal cavity in the reconstruction of the abdominal wall with polypropylene mesh in rats

Use of the amniotic membrane to cover the peritoneal cavity in the reconstruction of the abdominal wall with polypropylene mesh in rats

Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results

Stepwise transversus abdominis muscle release for the treatment of complex bilateral subcostal incisional hernias

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