scholarly journals Anterior rectus sheath flap for closure of the abdominal wall defects

2010 ◽  
Vol 7 (2) ◽  
pp. 221-226
Author(s):  
Alaa A El-Sisy
2010 ◽  
Vol 25 (4) ◽  
pp. 347-349 ◽  
Author(s):  
Romar Ângelo Barbato Silveira ◽  
Fábio Xerfan Nahas ◽  
Bernardo Hochman ◽  
Felix Carlos Ocariz Bazzano ◽  
Carlos Roberto Amorim ◽  
...  

PURPOSE: The tension at the aponeurotic edges of abdominal wall defects is an important factor of dehiscence and incisional hernia formation. The purpose of this study is to map and compare the traction force necessary for medial mobilization in various levels of the anterior rectus sheath in cadavers. METHODS: Twenty four adult male cadavers, raging from 22 to 59 years old, with the abdominal wall intact and without prior preservation techniques, were dissected. A complete excision of the linea alba was performed. Traction loops of 10 mm in diameter were made in the anterior rectus sheath and were placed: 2, 4, 6 and 8 cm below the lower edge of the umbilicus and 3, 6 and 9 cm above the upper edge of the umbilicus. Each loop was mobilized 10 mm in the medial direction, using an analog dynamometer. The values obtained in each level were compared using Friedman's analysis of Variance for p < 0.05. RESULTS: The average traction values obtained at the various levels were compared and there was no statistical significant difference. CONCLUSION: There is no variation in tension along the whole extension of the anterior rectus sheath.


Author(s):  
Marcus Vinícius Jardini Barbosa ◽  
Fábio Xerfan Nahas ◽  
Lydia Masako Ferreira

AbstractThe variation of the components’ separation technique, which uses the anterior rectus sheath and the release of the oblique muscles, proved to be effective in tension reduction. This paper aimed to present the initial experience using a variation that preserves semilunaris through the incision of the lateral aspect of the rectus sheath. All of the 12 patients presented an abdominal wall defect that included incisional hernia, peritoneostomy, lateral implantation of the rectus muscle, and defect secondary to TRAM flap. The separation was done in the following stages: stage 1—anterior rectus sheath and stage 2—external oblique muscles. From the 12 patients, three presented early complications: seroma (n = 2) and epitheliolysis (n = 1). There were no recurrences or other late complications (48 months follow-up period). The separation of the anterior rectus sheath, and incision in the lateral recess to undermine the oblique muscles, allowed the treatment of abdominal wall defects, without late complications.


Author(s):  
Nilofar Imamhusen Yelurkar ◽  
Meena Naresh Satia ◽  
Ananya Rajendra Deekshit ◽  
Vijaya Rajesh Badhwar

The presence of functioning endometrium outside the uterine cavity is often encountered in gynaecological practice but an extremely rare entity is its extra pelvic variant is seen sometimes around the umbilicus, anterior rectus sheath vesical region, also rarely seen around the kidney’s nasal mucosa, lungs and the pleura. The incidence of this condition is as low as 0.03% to 0.15%. Endometrioma of the anterior rectus sheath is well documented in literature but because of its rarity may pose a diagnostic dilemma. Reporting herewith a case of anterior rectus sheath endometrioma where medical line of treatment failed and surgical excision was required.


Author(s):  
Marcus Vinícius Jardini Barbosa ◽  
Fabio Xerfan Nahas ◽  
Élvio Bueno Garcia ◽  
Natalia Alinda Montecinos Ayaviri ◽  
Yara Juliano ◽  
...  

2003 ◽  
Vol 18 (spe) ◽  
pp. 37-45 ◽  
Author(s):  
Fábio Xerfan Nahas ◽  
Lydia Masako Ferreira

The use of cadaver as an experimental model to evaluate tension of the abdominal wall after aponeurotic incisions and muscular undermining is described on this article. The tension required to pull the anterior and the posterior rectus sheaths towards the midline was studied in fresh cadavers at two levels: 3 cm above and 2 cm below the umbilicus. Traction measurement was assessed with a dynamometer attached to suture loops on the anterior and posterior recti sheaths, close to the midline, above and below the umbilicus. The quotient of the force used to mobilize the aponeurotic site to the midline and its resulting displacement was called the traction index. These indices were compared in three situations: 1) prior to any aponeurotic undermining; 2) after the incision of the anterior rectus sheath and the undermining of the rectus muscle from its posterior sheath; and 3) after additionally releasing and undermining of the external oblique muscle. The experimental model described showed to be feasible to demonstrate the effects on tension of the abdominal wall after incisions and undermining of its muscles and aponeurosis.


2018 ◽  
Vol 0 (4) ◽  
pp. 13-17
Author(s):  
O. V. Panchuk ◽  
V. G. Mishalov ◽  
I. M. Leschishin ◽  
V. F. Simonov ◽  
E. G. Donets ◽  
...  

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