| Revista: | Revista do Colegio Brasileiro de Cirurgioes |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000283546 |
| ISSN: | 0100-6991 |
| Autors: | Reis, Marcos Campos W1 Melo, Renato Miranda de2 Santana, Daniel Paulino Almeida, Carolina Trancoso de Lima, Helena Regina de Brito |
| Institucions: | 1Fundacao Benjamin Guimaraes, Hospital da Baleia, Belo Horizonte, Minas Gerais. Brasil 2Clínica de Hernia, Alfenas, Minas Gerais. Brasil |
| Any: | 2006 |
| Període: | Ene-Jun |
| Volum: | 33 |
| Número: | 3 |
| Paginació: | 156-160 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | BACKGROUND: Abdominal wall reconstruction is a critical and challenging step after laparostomy. We describe a simple tensionfree technique for abdominal wall reconstruction using prosthesis over the granulation tissue. METHODS: This technique is described and applied prospectively in 17 patients treated from 1998 to 2005. Time and indication for laparotomy surgical procedure duration and postoperative course were analyzed. RESULTS: The average age of the patients was 41 years old. The indications for laparostomy were peritonitis in 8 patients, abdominal trauma in another 8 and necrotizing pancreatitis in one. Average time until abdominal reconstruction was 14 months. Mean operating time was 130 minutes. Average postoperative hospital length of stay was 2,6 days among patients without postoperative complications. There was no death or abdominal compartment syndrome related to the technique. Mean follow-up time was 24 months and there has been no evidence of incisional hernia up to now. CONCLUSION: The technique described is easy to perform and reproduce, avoids unnecessary manipulation of abdominal content and allows a tension-free repair. This technique showed no incidence of abdominal compartment syndrome and incisional hernia |
| Resumen en portugués | técnica aqui proposta é de fácil execução e reprodutibilidade, torna desnecessária a manipulação da cavidade abdominal com conseqüente diminuição do risco de lesão de vísceras abdominais e proporciona o fechamento definitivo da laparostomia sem tensão. Esta técnica não acarretou síndrome de compartimento abdominal e nenhum paciente desenvolveu hérnia incisional até o momento |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Gastroenterología, Malla, Hernia ventral, Laparotomía, Pared abdominal, Reconstrucción, Técnicas quirúrgicas, Aparato digestivo |
| Keyword: | Medicine, Gastroenterology, Surgery, Ventral hernia, Laparotomy, Abdominal wall, Reconstruction, Mesh |
| Text complet: | Texto completo (Ver HTML) |
