Short- and long-term biomechanical and morphological study of new suture types in abdominal wall closure

2014 ◽  
Vol 37 ◽  
pp. 1-11 ◽  
Author(s):  
R. Simón-Allué ◽  
P. Pérez-López ◽  
S. Sotomayor ◽  
E. Peña ◽  
G. Pascual ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Morphological Study ◽  
Abdominal Wall Closure ◽  
Short And Long Term

Large Gaps of Midline Abdominal Incisions and Their Management

2008 ◽  
Vol 74 (11) ◽  
pp. 1094-1099
Author(s):  
Mahmoud N. Kulaylat ◽  
Constantine P. Karakousis
Keyword(s):  
Abdominal Wall ◽  
Surgical Procedures ◽  
Skin Grafting ◽  
Operative Management ◽  
Full Thickness ◽  
Tension Free ◽  
Abdominal Malignancy ◽  
One Step ◽  
Short And Long Term

The operative management of midline full-thickness abdominal wall gaps is difficult, often requires several surgical procedures and is associated with significant short- and long-term complications. A rectus abdominis-posterior sheath (RAPS) flap with skin grafting provides a tension-free one-step repair which was used in three patients successfully with midline abdominal wall (including the skin) gaps who had multiple previous operations related to intra-abdominal malignancy. No complications occurred in these patients in relation to this procedure.

scholarly journals Long term outcomes of abdominal wall closure with ePTFE Gore-Tex Mesh in pediatric liver transplantation

2020 ◽  
Vol 34 (1) ◽  
pp. S150-S150
Author(s):  
Jeong-Moo Lee ◽  
Jiyoung Kim ◽  
Nam-Joon Yi ◽  
Suk Kyun Hong ◽  
Kwangpyo Hong ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Abdominal Wall ◽  
Pediatric Liver Transplantation ◽  
Abdominal Wall Closure ◽  
Long Term Outcomes ◽  
Pediatric Liver

Long-Term Followup with the Use of Lyophilized Dura Mater for Abdominal Wall Closure in Children: Report of 3 Cases

1992 ◽  
Vol 148 (3 Part 1) ◽  
pp. 858-860 ◽  
Author(s):  
Malcolm Root ◽  
Jorge L. Lockhart ◽  
Albert Vorstman ◽  
Claudio Oiticica ◽  
Donald Buckner
Keyword(s):  
Abdominal Wall ◽  
Dura Mater ◽  
Abdominal Wall Closure ◽  
Lyophilized Dura Mater

scholarly journals P017 COMPLEX ABDOMINAL WALL RECONSTRUCTION IN ELDERLY PATIENTS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joaquin Munoz-Rodriguez ◽  
Javier López Monclús ◽  
Carlos San Miguel ◽  
Luis Blázquez Hernando ◽  
Alvaro Robin Valle de Lersundi ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Surgical Site Infections ◽  
The Elderly ◽  
Long Term Results ◽  
Surgical Approaches ◽  
Preperitoneal Approach ◽  
Short And Long Term

Abstract Aim Our study aims to analyze and evaluate the results obtained in patients older than 80 years old who underwent complex abdominal wall reconstruction (CAWR) in a multicenter abdominal wall unit using different surgical approaches. Material and Methods Patients were identified from a prospective maintained multicenter database. Demographic characteristics, incisional hernias’ (IH) characteristics, as well as postoperative outcomes, including short and long-term complications have been analyzed. Results 21 patients were identified. The mean age was 82.5 (+/- 2.4) years old . There were 10 (47.6%) midline IH, 5 (23.8%) lateral IH, 4 (19%) synchronous midline and lateral IHs, and 2 (9.6%) parastomal hernias (PH). 9 (42.8%) Madrid TAR modification technique, 5 (23.8%) Rives-Stoppa, 3 (14.3%) lateral preperitoneal approaches, 1 (4.8%) midline preperitoneal approach and 1 (4.8%) anterior component separation were performed. In patients with PH, a modification of the Pauli technique (4.8%), and a unilateral TAR with a keyhole repair associated (4.8%) were performed. There were 7 (33,3) surgical site occurrences (SSO), 1 (4.8%) seroma, 3 (14.3%) hematomas and 3 (14.3%) surgical site infections. Only 3 (14.3%) SSO required procedural intervention. During a mean follow-up of 20.6 (+/- 15.9) months, 1 (4.8%) hernia recurrence was diagnosed. No cases of postoperative bulging were recorded. There were also no cases of chronic pain in the sample. During follow-up, 3 patients died from surgery unrelated causes. Conclusions CAWR in the elderly patient, after an adequate preoperatively selection of patients, presented acceptable short- and long-term results, despite the advanced population age.

scholarly journals P022 OUTCOMES OF ABDOMINAL WALL REPAIR ASSOCIATED WITH INTESTINAL TRANSIT RECONSTRUCTION SURGERY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joaquin Munoz-Rodriguez ◽  
Javier López Monclús ◽  
Alvaro Robin Valle de Lersundi ◽  
Luis Blázquez Hernando ◽  
Miguel Ángel García Ureña
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Colorectal Anastomosis ◽  
Intestinal Transit ◽  
Long Term Results ◽  
Reconstruction Technique ◽  
Reconstruction Surgery ◽  
Short And Long Term ◽  
Mesh Reconstruction

Abstract Aim Analyze and evaluate the results obtained in patients undergoing transit reconstruction surgery in which an abdominal wall reconstruction (AWR) is associated using a multidisciplinary approach. Material and Methods All patients who underwent an intestinal transit reconstruction associated with an AWR surgery were identified from a prospectively maintained multicenter database. Short and long-term results have been analyzed, especially AWR outcomes. Results 10 patients were identified. 60% were men. Mean time since previous surgery was 1.66 years. 8 cases (80%) associated a midline incisional hernia with the parastomal hernia. 3 (30%) bilateral posterior component separation (PCS) Madrid transverse abdominis muscle release (Madrid TAR) modification, 5 (50%) unilateral Madrid TAR, 1 (10%) PCS Carbonell, and 1 (10%) Rives-Stoppa techniques were performed. A double mesh reconstruction technique was used in 60% of the patients, associating absorbable mesh with a permanent mesh. One patient presented a paucisymptomatic colorectal anastomosis fistula, that could be managed conservatively. A case of postsurgical ileus was also evidenced. Surgical site ocurrences (SSO) were recorded in 4 patients (40%), all of them related to surgical site infection that required a bedside wound opening. During a mean follow-up of 24 (+/- 15) months, there was no evidence of hernia recurrence. No cases of bulging, chronic mesh infection or chronic pain were reported. No case of mortality was recorded in the series. Conclusions Intestinal transit reconstruction surgery associated with an AWR, with a multidisciplinary team managed, presents acceptable long-term results, despite the high SSO associated.

scholarly journals P005 POSTERIOR COMPONENT SEPARATION WITH TRANSVERSUS ABDOMINIS RELEASE FOR COMPLEX VENTRAL HERNIA REPAIR: A CASE SERIES

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Camillo Leonardo Bertoglio ◽  
Marianna Maspero ◽  
Bruno Alampi ◽  
Lorenzo Morini ◽  
Carmelo Magistro ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Component Separation ◽  
Transversus Abdominis ◽  
Long Term Results ◽  
Transversus Abdominis Release ◽  
Median Length ◽  
Posterior Component Separation ◽  
Short And Long Term

Abstract Aim To assess the short- and long-term outcomes of posterior component separation with transversus abdominis release (PCS-TAR) at our Centre. Material and methods From 2016, our abdominal wall unit started with PCS-TAR for the treatment of patients with complex abdominal wall hernias. We report our prospectively collected preliminary results. Results Sixty-six patients underwent PCS-TAR. Twenty patients had already received at least one previous hernia repair, 16 with mesh implantation. The median width of the defect was 12 cm (range 3 - 35), the median length 15 (range 4 - 40). Defects were multiple in 13 cases, swiss cheese in 2 cases. Eleven defects had both a midline and a lateral component, 3 had a concomitant parastomal hernia. Thirty-eight cases were located near the abdominal wall borders. The median duration of surgery was 255 minutes (range 84 - 740). TAR was partial in 24 cases and monolateral in 24. Twelve cases involved previous mesh removal. Fifty patients received implantation of more than one mesh: the most common combination was a PVDF mesh on top of a biosynthetic mesh. The mesh seldom needed to be fixed. The median length of stay was 6 days (range 3 - 61). Postoperative complications occurred in 22 patients (3 were major). Surgical site occurrences happened in 7 cases. After at least 12 months of follow up per patient, there was 1 recurrence, 1 case of chronic pain and no chronic seromas. Conclusions Posterior component separation with transversus abdominis release offers a versatile solution for a variety of complex ventral hernias, with good short- and long-term results.

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