Abdominal Wall Reconstruction Using De-Epithelialized Dermal Flap: A New Technique
Journal of Surgical Technique and Case Report
; 2(1): 3-7, 2010.
Artigo
em Inglês
| AIM
| ID: biblio-1264517
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
Although autogenous materials have been used in abdominal wall hernioplasty for a long time; the introduction of prosthetic materials diminished their popularity. However; these materials may be expensive; inappropriate or unavailable. The aim of this study is to determine the place of de-epithelialized dermal flap in the reconstruction of abdominal wall hernias. Materials andMethods:
A five-year prospective; descriptive analysis of eligible patients with difficult abdominal wall hernias closed with de-epithelialized dermal flap in a Nigerian Tertiary Health Institution; from January 2001 to December 2005.Results:
Over the five-year period; 37 patients were recruited into the study. There were 11 males and 26 females; giving a male female ratio of 1 2.4. The ages ranged from 8 months to 47 years (mean = 12.6 years). The defects consisted of 15 incisional hernias; 12 intermuscular/inferior lumbar hernias; nine healed exomphalos major and two giant umbilical hernias. The size of the hernia defects ranged from 4.5 cm to13cm (mean = 6.4 cm). Three patients had bowel resection and end-to-end anastomosis; in addition to the flap reconstruction. Morbidity was minimal and included skin dimpling in 11 patients; seroma in three; and wound infection in two patients. Neither recurrence of herniation nor mortality was recorded during the period of follow-up; which ranged from three months to 4.5 years (mean = nine months).Conclusion:
The results suggest that this is a useful technique that can easily be applied in many centers with minimal resources. It is cheap; effective and associated with minimal morbidity
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Índice:
AIM (África)
Assunto principal:
Procedimentos Cirúrgicos Operatórios
/
Retalhos Cirúrgicos
/
Parede Abdominal
Idioma:
Inglês
Revista:
Journal of Surgical Technique and Case Report
Ano de publicação:
2010
Tipo de documento:
Artigo
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