scholarly journals Necrotising fasciitis secondary to a colocutaneous fistula

2016 ◽  
Vol 98 (7) ◽  
pp. e130-e132 ◽  
Author(s):  
N Husnoo ◽  
S Patil ◽  
A Jackson ◽  
M Khan
Keyword(s):  
Abdominal Wall ◽  
Diverticular Disease ◽  
Anterior Abdominal Wall ◽  
English Literature ◽  
Previous History ◽  
Necrotising Fasciitis ◽  
Preoperative Imaging ◽  
Sigmoid Colectomy ◽  
Midline Laparotomy ◽  
Colocutaneous Fistula

Colocutaneous fistulae secondary to diverticular disease are rare, especially spontaneous fistulae. We report a case of a 74-year-old lady, with no previous history of diverticular disease, presenting with necrotising fasciitis of the anterior abdominal wall in the left iliac fossa, without any other symptoms. Urgent surgery was performed. An initial diagnostic laparoscopy demonstrated a perforated sigmoid diverticulum forming a fistula to the anterior abdominal wall. Following soft tissue debridement, a sigmoid colectomy was performed through a midline laparotomy. Gastrointestinal pathology should be considered as a potential cause of abdominal wall necrotising fasciitis. Our approach of using laparoscopic visualisation to assess for intra-abdominal sources in this context (in the absence of preoperative imaging when imaging could delay treatment) has not been described before. To our knowledge, only two cases of abdominal wall necrotising fasciitis secondary to diverticular disease with a colocutaneous fistula have been reported in the English literature.

Hibernoma

2002 ◽  
Vol 126 (8) ◽  
pp. 975-978 ◽  
Author(s):  
Subodh M. Lele ◽  
Satish Chundru ◽  
Gregory Chaljub ◽  
Patrick Adegboyega ◽  
Abida K. Haque
Keyword(s):  
Adipose Tissue ◽  
Brown Adipose Tissue ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
P53 Protein ◽  
English Literature ◽  
Review Of The Literature ◽  
Abstract Form ◽  
Unusual Site ◽  
Brown Adipose

Abstract Hibernomas are rare neoplasms composed of brown adipose tissue. The behavior of these neoplasms has been described as uniformly benign in humans. The only recurrence cited in the English literature involved a sarcoma with hibernoma-like features, which was reported in abstract form. We present 2 cases of hibernoma, one that continued to grow following partial excision and another at an unusual site (anterior abdominal wall). Both of these tumors overexpressed p53 protein by immunohistochemistry, which was a novel finding. A review of the literature highlights recent advances that may help confirm the diagnosis and explain the biology of these rare tumors.

Amyand’s hernia causing necrotising fasciitis of the anterior abdominal wall

Hernia ◽  
2005 ◽  
Vol 9 (4) ◽  
pp. 381-383 ◽  
Author(s):  
C. D. Marron ◽  
M. Khadim ◽  
D. McKay ◽  
E. J. Mackle ◽  
J. W. R. Peyton
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Necrotising Fasciitis ◽  
Amyand’S Hernia

scholarly journals ANALYSIS OF NONSURGICAL POSTOPERATIVE VENTRAL HERNIA PREDICTORS

2017 ◽  
Vol 34 (6) ◽  
pp. 5-11
Author(s):  
S N Lebedev ◽  
A V Fedoseev ◽  
A S Inyutin ◽  
S Yu Muraviyev
Keyword(s):  
Surgical Treatment ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Prospective Analysis ◽  
Case Histories ◽  
Endoprosthetic Replacement ◽  
Midline Laparotomy ◽  
Urgent Surgery ◽  
Connective Tissue Dysplasia ◽  
Blood Erythrocyte

Aim. The aim of this study was to detect the predictors of the postoperative herniation in midline laparotomy as the most frequent type of approach in urgent surgery. The study included retro-and-prospective analysis of 398 case histories. Analysis was performed according to 45 signs. Materials and methods. The following parameters were taken into account: Kettle index, anterior abdominal wall status, presence of the signs of undifferentiated connective tissue dysplasia, hard physical labour, use of bandage in the postoperative period as well as blood erythrocyte and hemoglobin indices, bilirubin and creatinine levels. Separately, the following parameters were assessed: presence of aponeurosis defects (physically and by US data) and presence of hernia outpouching. Results. According to the obtained data, the indications to preventive endoprosthetic replacement of the anterior abdominal wall were formed. Conclusions. Combination of some factors, not connected with surgical treatment, raises the risk for herniation, being the indication to preventive endoprosthesis replacement of the abdominal wall.

scholarly journals Necrotising Fasciitis of lower anterior abdominal wall post lower segment ceaserian section

2018 ◽  
Vol 5 (11) ◽  
pp. 3760
Author(s):  
Mahmood A. Makhdoomi ◽  
Abdelhamid Haraga ◽  
Moly Joseph ◽  
Yasser Al Habeeb
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Subcutaneous Tissue ◽  
Good Condition ◽  
Necrotising Fasciitis ◽  
Uneventful Recovery ◽  
Lower Segment ◽  
Surgical Teams ◽  
The One ◽  
Secondary Closure

Necrotising fasciitis is a rapidly progressive inflammatory infection of the fascia with secondary necrosis of the subcutaneous tissue. The speed of spread is directly proportional to the thickness of the subcutaneous layer. It moves along the fascial plane. We are presenting a case report of 27 years old Saudi female with status post Lower segment caesarian section of 10 days’ duration presented with bluish discoloration of the lower anterior abdominal wall around the surgical scar with necrotic patches and surrounding induration with foul smelling discharge from the one pocket within this area. She underwent successful simultaneous incision and wide debridement of gross necrotic tissues; together with evacuation of the pus followed by secondary closure. Both general and plastic surgical teams were involved. Patient made uneventful recovery and discharged home in good condition.

Stress-strain properties of aponeurotic suture in anterior abdominal wall after a midline laparotomy

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Sergey Vertyankin ◽  
Yana Vanzha ◽  
Rodion Mayorov ◽  
Izabella Turlykova ◽  
Anastasia Golyadkina ◽  
...  
Keyword(s):  
Tensile Stress ◽  
Abdominal Wall ◽  
Tensile Strain ◽  
Method Development ◽  
Anterior Abdominal Wall ◽  
Maximum Load ◽  
Stress Strain ◽  
Midline Laparotomy ◽  
Group 2 ◽  
Ventral Hernias

Objective: method development for preventing postoperative ventral hernias based on experimental assessment of the stress-strain properties of aponeurosis in various types of a midline laparotomy. Materials and methods. We evaluated 42 fascia muscular aponeurotic complexes of the anterior abdominal wall. Based on the technique for dissecting the aponeurosis and its suturing, the complexes were divided into two groups (each containing 21 samples): Group 1 with a bypass of the umbilical ring on the left, and Group 2 with umbilical ring dissection. Results. Fascia aponeurotic complexes dissected and sutured through the umbilical ring (Group 2) had, on the average, higher values of mechanical characteristics. E.g., mean values of tensile stress (S), tensile stress at a maximum load (Smax), Young’s modulus (E), aponeurotic tensile strain (D), aponeurotic tensile strain at a maximum load (Dmax), and maximum load level (Load) were higher in Group 2 by 35.4; 39.8; 14.9; 34.6; 30.2 and 40.2 (%), respectively. Conclusion. We conducted the development, experimental application and evaluation of a novel method for preventing postoperative ventral hernias after a midline laparotomy based on the assessment of the stress-strain properties of aponeurosis.

Determination of clinical efficiency of deproteinized dialysate from blood of milk-fed calves after endoprosthetics in patients with ventral hernias

2020 ◽  
Vol 28 (3) ◽  
pp. 323-333
Author(s):  
Sergej V. Ivanov ◽  
Ilya S. Ivanov ◽  
Evgenij G. Obyedkov ◽  
Liliya P. Popova
Keyword(s):  
Abdominal Wall ◽  
Inflammatory Reaction ◽  
Inflammatory Process ◽  
Anterior Abdominal Wall ◽  
Dynamic Change ◽  
Main Group ◽  
Control Group ◽  
Surgical Department ◽  
Regeneration Stage

Aim. To study the influence of deproteinized dialysate from blood of milk-fed calves on the type of exudative discharge and dynamics of inflammatory reaction after hernia repair with plastics of the anterior abdominal wall with hernioendoprosthesis of polypropylene. Materials and Methods. The study involved 59 patients being on stationary treatment in the surgical department of Kursk Regional Clinical Hospital. Patients were hospitalized for the herniation of small or medium dimension. The patients were divided to two groups: the main (n=30) and control (n=29) groups. After endoprosthetics, the patients of the control group were given complex conservative treatment. The patients of the main group, besides standard treatment, were administered deproteinized dialysate from blood of milk-fed calves intravenously in drips 10 ml + 200 ml of 0.9% sodium chloride solution within 7 days. For cytological examination and determination of the type of cytograms, the traumatic discharge was collected and analyzed using the method of M.F. Kamaev and M.A. Palthsev. Results. Cytomorphometric examination was conducted on the third, fifth and seventh day after endoprosthetics with the aim of studying dynamic changes. Determination of cell composition and also of its changes characteristic of each studied period, was necessary for obtaining further information characterizing inflammatory process in the region of placement of the endoprosthesis. After endoprosthetics in patients who were administered hemodialysate, the inflammatory reaction was less pronounced than in patients who did not receive the preparation. This was associated with a more dynamic change of stages of the inflammatory process. In patients of the main group who received deproteinized dialysate, regenerative type of inflammation first appeared on the fifth day and made 6.9%; by the seventh day the share of patients with the regenerative type rose to 17.5%, while in the patients of the control group no regeneration stage was observed in both periods. Conclusion. Analysis of the efficiency of influence of hemodialysate on the inflammatory reaction in plastics of the anterior abdominal wall with polypropylene endoprosthesis evidences faster course of all stages of inflammation and reduction of its intensity by 10%.

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