Large defect of abdominal wall repair by dermal and sinthetic graft

Large defects of abdominal wall (greater than 8 cm in diameter) related to different cause, are still difficult problem of modern surgery. The best results in order to obtain safe and permanent anatomical and functional abdominal wall integrity are reached by autogenous dermal and synthetic grafts. Controversies concerning quality of these procedures are still presents. Our work is based on two equal experimental groups of 20 Vister rats each, with large artificial abdominal wall defects: one treated with autogenous dermal graft, another with synthetic Mersilene mesh graft. The animals from both groups were sacrificed in previous planned time intervals (3rd, 7th, 14th and 48th days). Afterwards detailed microscopic and gross examination of abdominal wall reparation and quality of reconstructed abdominal wall defects had been performed. According to our results both methods are easy to be performed and safety surgical procedures. Overestimated usage of synthetic grafts should be diminished because of advantages of autologous dermal graft - availability, substitution of firmly fibrosis tissue and endurance against infection.

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ASSESSMENT OF QUALITY OF LIFE IN PATIENTS WITH COSMETIC ANTERIOR ABDOMINAL WALL DEFECTS, VENTRAL HERNIATION AND I–II DEGREE OF OBESITY

European Journal of Biomedical and Life Sciences ◽

10.29013/elbls-21-1.2-14-19 ◽

2021 ◽

pp. 14-19

Author(s):

O. Panchuk ◽

Y. Susak ◽

L. Markulan

Keyword(s):

Quality Of Life ◽

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Abdominal Wall Defects

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Prenatal and Postnatal Diagnostics Problems of the Most Common Surgical Congenital Malformations of Newborns in Latvia

Proceedings of the Latvian Academy of Sciences Section B Natural Exact and Applied Sciences ◽

10.2478/v10046-009-0036-3 ◽

2009 ◽

Vol 63 (4-5) ◽

pp. 159-162

Author(s):

Zane Ābola ◽

Aigars Pētersons ◽

Daila Pugačevska ◽

Astra Zviedre ◽

Jana Lackaja

Keyword(s):

Abdominal Wall ◽

Esophageal Atresia ◽

Congenital Malformations ◽

Tracheoesophageal Fistula ◽

Duodenal Atresia ◽

University Hospital ◽

Abdominal Wall Defects ◽

Postnatal Diagnosis ◽

Expectant Mothers

Prenatal and Postnatal Diagnostics Problems of the Most Common Surgical Congenital Malformations of Newborns in Latvia The most common surgical congenital malformations of newborns in Latvia are esophageal atresia (EA) with or without tracheoesophageal fistula (TEF), duodenal atresia (DA) and abdominal wall defects — gastroschisis (G) and omphalocele (O). Survival and quality of life of these patients depend on precise pre- and postnatal diagnosis, timely and qualified treatment, and presence of associated anomalies and prematurity. The aim of our study was to define prenatal and postnatal diagnostic problems of the most common surgical congenital malformations of new-borns in Latvia. Data concerning pre- and postnatal diagnostics from case-records of patients treated in Children's Clinical University Hospital from 1998 till 2008 with esophageal atresia (58 patients), duodenal atresia (20 patients) and congenital abdominal wall defects — gastroschisis (17 patients) and omphalocele (28 patients) were analysed. Results showed that in case of EA prenatal USG was performed in 62% of expectant mothers and in neither case suspicion about. EA was expressed. In all patients after birth diagnostic placement of nasogastric tube was performed. In approximately one-third catheter of bad opaqueness was used. Preoperative bronchoscopy and esophagoscopy in order to exclude upper tracheoesophageal fistula were performed in two patients from the analysed group. In 40% of cases DA was diagnosed in prenatal ultrasonography. G was diagnosed prenatally in 29.4%, O — only in 3.7%.

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Flap Surgical Techniques For Incisional Hernias Reccurences. A Swine Experimental Model

Medicine and Pharmacy Reports ◽

10.15386/cjmed-684 ◽

2017 ◽

Vol 90 (2) ◽

pp. 203-211

Author(s):

Florina Popa ◽

Filip Ardelean ◽

Cosmin Pestean ◽

Robert Purdoiu ◽

Oana Rosca ◽

...

Keyword(s):

Abdominal Wall ◽

Mesh Repair ◽

Surgical Techniques ◽

Careful Examination ◽

Large Animal ◽

Abdominal Wall Defects ◽

Flap Surgery ◽

Abdominal Wall Repair ◽

Large Animal Models ◽

The University

Background and aims. In the age of synthetic prostheses most of hernia studies include a careful examination of the various types of prosthesis, their characteristics and their repair indications. Biological prostheses are also beginning to draw attention. But in terms of recurrence especially for poor or developing countries, the discussion is different, due to their high cost which makes them difficult to afford. In this article we present new flap reconstruction techniques for the reconstruction of the abdominal wall versus mesh repair, applied on swine models, outline the results of each technique, and specify the indications for their use.Methods. An experimental protocol using four swine models (PIC-FII-337 hybrid breed pigs), five months old, was conducted. All animal care and operative procedures were studied following the protocol approved by the Ethics Committee of the University of Medicine and Pharmacy resolution no. 281/2014 of the Department of Surgery of the University of Agricultural Sciences and Veterinary Medicine); the study was carried out between November 2015 and February 2016. The primary objective was to compare the effect of surgical strategies in the treatment of the abdominal wall defect using variable flaps versus mesh repair in a large-animal models. Physical examination and ultrasound imaging of the abdominal wall repair were done on determined periods, during one month. The complications occurring after the abdominal wall repair were edema, collections, superficial dehiscence an recurrences.Results. No recurrences were reported at one month results, all seromas reported were solved over time by natural drainage. Superficial necrosis appeared in two swine models and superficial dehiscence occurred in one model, the perforator ”plus” flap. Mesh infection was detected in the “onlay” swine model.Conclusions. In terms of recurrences, contaminated abdominal wall defects or other contraindications to the use of prosthetic materials, biological mesh repair or flap surgery are the only surgical options. Based on our findings and considering the high cost reported by the biological meshes use, flap surgery becomes the suitable treatment for such cases, allowing a good reconstruction of the abdominal wall.

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Health Related Quality of Life of Patients With Abdominal Wall Defects

Case Medical Research ◽

10.31525/ct1-nct03960320 ◽

2019 ◽

Author(s):

Keyword(s):

Quality Of Life ◽

Abdominal Wall ◽

Abdominal Wall Defects ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Repair of Ventral Abdominal Wall Hernias

10.2310/surg.2083 ◽

2020 ◽

Author(s):

Michael J. Rosen ◽

Clayton C. Petro

Keyword(s):

Incisional Hernia ◽

Hernia Repair ◽

Abdominal Wall ◽

Ventral Hernia ◽

Incisional Hernia Repair ◽

Population Based ◽

Difficult Problem ◽

Abdominal Wall Defects ◽

Special Circumstances ◽

Ventral Hernias

The repair of noninguinal abdominal wall defects is one of the most common procedures general surgeons perform. Despite this, there is little agreement or consensus in the literature as to the ideal approach for this difficult problem. In recent years, population-based studies have provided better data on the true failure rates associated with the various herniorrhaphies. Wound morbidity has also emerged as an important outcome measure, and definitions by the Ventral Hernia Working Group (VHWG) have begun to standardize such benchmarks. Future evidence will come from the large multi-institutional collaborations currently forming. This topic review discusses the classification of ventral hernias, abdominal wall anatomy, and choices of prosthetic materials. Incisional hernia repair is discussed, as are the operative steps and techniques for both an open and a laparoscopic ventral hernia repair. Special circumstances, including loss of abdominal domain and contaminated surgical fields, periumbilical hernia repair, and atypical ventral hernias are also described. This review contains 10 figures, 18 tables, and 71 references. Keywords: Hernia, incisional hernia, mesh, laparotomy, laparoscopy, incarceration, surgical site infection, hernia repair

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Niche Reconstructive Techniques for Complex Abdominal Wall Reconstruction: A Review

The American Surgeon ◽

10.1177/000313481408000412 ◽

2014 ◽

Vol 80 (4) ◽

pp. 327-334 ◽

Cited By ~ 1

Author(s):

Gloria R. Sue ◽

Deepak Narayan

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Reconstruction ◽

Surgical Techniques ◽

Abdominal Wall Defects ◽

Recurrence Rates ◽

Surgical Morbidity ◽

Abdominal Wall Repair ◽

Surgical Methods ◽

Latissimus Dorsi Myocutaneous Flap ◽

Reconstructive Techniques

Abdominal wall defects resulting from recurrent hernias, trauma, and radiation necrosis are difficult and challenging to repair given the high rates of recurrence and surgical morbidity. Complex abdominal wall defects often require the transposition of autologous material to bridge the fascial gap. We present a review of niche reconstructive techniques that have been used in complex abdominal wall repair. The specific techniques reviewed include use of delayed and tunneled pedicled tensor fascia lata myofascial flap, de-epithelialized flap closure, free latissimus dorsi myocutaneous flap with or without innervation, and abdominal wall transplant. These niche surgical techniques have great potential to reduce recurrence rates when used in the proper setting for complex abdominal wall reconstruction. More studies are needed to evaluate the relative use of these techniques with the more widely established surgical methods of reconstruction.

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Prosthetics and Techniques in Repair of Animal’s Abdominal Wall

Scientifica ◽

10.1155/2016/9463186 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Gamal Karrouf ◽

Adel Zaghloul ◽

Mohamed Abou-Alsaud ◽

Elie Barbour ◽

Khaled Abouelnasr

Keyword(s):

Abdominal Wall ◽

Primary Closure ◽

Meta Analysis ◽

Biomechanical Properties ◽

Epidemiologic Studies ◽

Abdominal Wall Defects ◽

Challenging Problem ◽

Treatment Algorithms ◽

Abdominal Wall Repair ◽

Prosthetic Materials

The management of abdominal wall repair continues to present a challenging problem, especially in the repair of major defects. Many abdominal wall defects can be repaired by primary closure; however, if the defect is large and there is a tension on the closure of the wound, the use of prosthetic materials becomes indispensable. Many studies have been performed with various materials and implant techniques, without the comparison of their degrees of success, based on sound meta-analysis and/or inclusive epidemiologic studies. This review covered the effectiveness of recent advances in prosthetic materials and implant procedures used in repair of abdominal wall, based on biomechanical properties and economic aspects of reconstructed large abdominal wall defects and hernias in animals. The presented results in this review helped to reach treatment algorithms that could maximize outcomes and minimize morbidity.

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Acellular dermal graft for repair of abdominal wall defects in rabbits

Journal of the South African Veterinary Association ◽

10.4102/jsava.v77i2.349 ◽

2006 ◽

Vol 77 (2) ◽

Cited By ~ 8

Author(s):

A.K. Gangwar ◽

A.K. Sharma ◽

Naveen Kumar ◽

N. Kumar ◽

S.K. Maiti ◽

...

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Defect ◽

Test Group ◽

Control Group ◽

Abdominal Wall Defects ◽

Full Thickness ◽

Dermal Graft ◽

Group I ◽

Group A ◽

Acellular Dermal

Sixteen clinically healthy New Zealand white rabbits of either sex were divided into 2 equal groups (I and II) of 8 animals each. Under thiopental sodium (2.5 %) anaesthesia a 2 Ã— 3 cm full-thickness abdominal wall defect in the mid-ventral abdominal wall was created and repaired with an acellular dermal graft (ADG) in all the animals of group I (test group). In animals of group II (control group) a full-thickness linear midline abdominal muscular wall incision was made and repaired with a continuous suture pattern using 2-0 nylon.

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