scholarly journals Abdominal Pseudocyst

2019 ◽  
Vol 87 (2) ◽  
pp. 30-32
Author(s):  
Hina Hina Jhawer ◽  
Jordan Ho ◽  
John Morrison
Keyword(s):  
Epithelial Cells ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Late Complication ◽  
Surgical Excision ◽  
Current Treatment ◽  
Imaging Findings ◽  
Abdominal Pseudocyst ◽  
Giant Pseudocyst

We report clinical details and imaging findings of a case of a giant pseudocyst occurring in the anterior abdominal wall of a 61-year-old female. This was a late complication following the repair of an incisional hernia with mesh. Surgical excision revealed a well-encapsulated pseudocyst with histopathology confirming absence of epithelial cells. We further discuss current treatment methods for incisional hernias, as well as prevalence, etiology, and management of pseudocysts complicating hernioplasty.

scholarly journals SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Umut Barbaros ◽  
Tugrul Demirel ◽  
Aziz Sumer ◽  
Ugur Deveci ◽  
Mustafa Tukenmez ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Single Incision ◽  
Anterior Abdominal Wall ◽  
Oral Intake ◽  
Operation Time ◽  
Incisional Hernia Repair ◽  
Composite Mesh ◽  
First Case ◽  
The Mean

Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The patients were mobilized and led for oral intake at the first postoperative day. No morbidity occurred. Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers.

Gravid uterus as a content of anterior abdominal wall incisional hernia

2010 ◽  
Vol 30 (5) ◽  
pp. 518-519 ◽  
Author(s):  
S. Agrawal ◽  
M. Madan ◽  
R. Kumari ◽  
H. Gaikwad ◽  
C. Raghunandan ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Gravid Uterus

scholarly journals Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Sinan Carkman ◽  
Volkan Ozben ◽  
Haydar Durak ◽  
Kagan Karabulut ◽  
Turgut Ipek
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Relevant Literature ◽  
Surgical Excision ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Lost To Follow Up

Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.

scholarly journals The Management of Incisional Hernia

2006 ◽  
Vol 88 (3) ◽  
pp. 252-260 ◽  
Author(s):  
Andrew Kingsnorth
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Failure Rate ◽  
Anterior Abdominal Wall ◽  
General Surgeon ◽  
Failure Rates ◽  
Large Problem ◽  
Hernia Surgery ◽  
The Past ◽  
Recent Advances

Many thousand laparotomy incisions are created each year and the failure rate for closure of these abdominal wounds is between 10–15%, creating a large problem of incisional hernia. In the past many of these hernias have been neglected and treated with abdominal trusses or inadequately managed with high failure rates. The introduction of mesh has not had a significant impact because surgeons are not aware of modern effective techniques which may be used to reconstruct defects of the abdominal wall. This review will cover recent advances in incisional hernia surgery which affect the general surgeon, and also briefly review advanced techniques employed by specialist surgeons in anterior abdominal wall surgery.

scholarly journals The results of surgical treatment of patients with large and complex incisional hernias of the anterior abdominal wall in a multidisciplinary hospital

2018 ◽  
Vol 17 (3) ◽  
pp. 35-44 ◽  
Author(s):  
E. N. Degovtsov ◽  
P. V. Kolyadko ◽  
V. P. Kolyadko ◽  
A. V. Satinov
Keyword(s):  
Surgical Treatment ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Incisional Hernia Repair ◽  
The Body ◽  
Wound Complications ◽  
Postoperative Wound ◽  
Mesh Reinforcement

Objectives. To evaluate the immediate results of surgical treatment of patients with large incisional hernia of the anterior abdominal wall with the use of the mesh implants.Materials and methods. The data were retrospectively collected and analyzed. The study included patients with a large and / or complex incisional hernia. There were 108 patients who underwent incisional hernia repair with mesh reinforcement in the period from 2012 to 2016. In all cases the repairs were made with mesh implants. The average age of patients was (56.4 ± 10.4) years. The body mass index (BMI) was on average (32.6 ± 6.24) kg/m2. The medial localization of the hernia was 102 (94.44%). The width of the hernia defect averaged (12.2 ± 3.7) cm. Implants were placement in onlay positions – 19 (17.6%), sublay – 49 (45.37%), IPOM (Intraperitoneal onlay mesh) – 30 (27.77%) patients, the component separation technique (CST) with mesh reinforcement was used in 10 (9.25%) patients. Active aspiration drainage was performed in 72 (66.66%) patients.Results. The average time for draining the postoperative wound was (5 ± 2.2) days. The number of wound complications was 23 (21.3%), the number of seromas of the postoperative wound prevailed was 16 (14.8%) patients, of which 2 (1.85%) were chronic abdominal wall seromas, hematoma occurred in  2 patients (1.85%), the number of prolonged serous exudation was 7 (6.5%), necrosis of the wound edges occurred in 4 (3.7%) patients. There was no mortality. Reliably more often wound complications occurred in patients with large hernia defects (p = 0.006), and also with an increase in the duration of surgical intervention (p = 0.01). The hospital-stay in patients with complications was significantly greater (p < 0.001), the need for analgesics also increased (p < 0.001).Conclusion. Prevention of wound complications after large and complex incisional hernia repair with mesh reinforcement is an important direction in improving the results of surgical treatment in this category of patients.

scholarly journals Large anterior abdominal wall fibrosarcoma in a known case of recurrent dermatofibrosarcoma protuberans

2020 ◽  
Vol 7 (9) ◽  
pp. 3120
Author(s):  
Snigdha Kamini ◽  
Sunil Kumar Jain ◽  
Jaspreet Bajwa ◽  
M. Nafees Ahamad ◽  
Sumit Kumar Prasad ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Abdominal Wall Defect ◽  
Locally Advanced ◽  
Skin Grafting ◽  
Dermatofibrosarcoma Protuberans ◽  
Surgical Excision ◽  
Large Tumor ◽  
Split Skin Grafting

Dermatofibrosarcoma protuberans is a rare soft tissue sarcoma of low to intermediate malignant potential. Incidence is estimated to be 0.8 to 4.5 cases per million persons per year. The tumor is highly aggressive locally and is known to recur. Punch biopsy or excisional biopsy (in case of small tumors) are diagnostic. Computer tomography (CT) and magnetic resonance imaging (MRI) are useful in determining the size and extent of the tumor’s treatment is primarily surgical, with a wide local excision with at 2 cm margin. However, local recurrence after apparently adequate surgical excision is common. Mohs micrographic surgery has been recommended as it enables maximum preservation of tissue. When surgery is insufficient, imatinib mesylate is shown as a safe and effective treatment in dermatofibrosarcoma protuberans (DFSP), especially in cases of locally advanced or metastatic disease. Here, we report a case of a giant fibrosarcoma on the anterior abdominal wall, measuring 27×18×9 cm, which occurred in a recurrent dermatofibrosarcoma protuberans. Diagnosis was done by histopathological examination (HPE) of the previously excised tumor and CT was done. The tumor was excised with a 3 cm margin and extensive reconstruction of the anterior abdominal wall defect was done using synthetic mesh, myocutaneous flaps and split skin grafting. Keeping in view the recurrent nature of our case, large tumor size, DFSP-fibrosarcomatous (FS) transformation and close negative margins in the HPE of the postoperative specimen, the patient was planned for adjuvant radiotherapy.

Local administration of TGF-β1 to reinforce the anterior abdominal wall in a rat model of incisional hernia

Hernia ◽  
2005 ◽  
Vol 9 (3) ◽  
pp. 252-258 ◽  
Author(s):  
M. Korenkov ◽  
N. Yuecel ◽  
J. Koebke ◽  
J. Schierholz ◽  
Ch. Morsczeck ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Rat Model ◽  
Anterior Abdominal Wall ◽  
Local Administration ◽  
Tgf Β1

scholarly journals early experience with the use of prosthetic mesh as fascia replacement in structural abdominal wall reconstruction

2007 ◽  
Vol 40 (02) ◽  
pp. 164-169
Author(s):  
I A Adigun ◽  
J K Olabanji ◽  
A O Oladele ◽  
O O Lawal ◽  
G H Alabi
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Bowel Resection ◽  
Anterior Abdominal Wall ◽  
Enterocutaneous Fistula ◽  
Abdominal Wall Reconstruction ◽  
Early Experience ◽  
Prosthetic Mesh ◽  
Abdominal Wall Defects ◽  
Black Patients

ABSTRACT Background: Abdominal wall defects occur from various causes and require reconstruction. autogenous tissue is often insufficient and incisional hernia often results. prosthetic mesh is a proven substitute to autogenous tissue but reports on its use is uncommon in our practice environment.Aim: the aim is to report our early experience with the use of prosthetic mesh in black patients in our practice environment.Materials and methods: the summaries of three patients with anterior abdominal wall defects which were managed with the use of a prosthetic mesh are presented as well as their intraoperative and postoperative photographs. one patient had intraperitoneal placement of the mesh and developed no complications.Results: one patient who had bowel resection developed a postoperative enterocutaneous fistula away from the site of the mesh and was managed conservatively. other patients had no complications.Conclusions: the use of prosthetic mesh is recommended.

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