RESUMO
In mesh repairs of abdominal wall defects, contact of the prosthesis with the abdominal viscera must be prevented. The omentum may be used to complete tension-free repair of these defects when dissection of the peritoneum is difficult or when there is insufficient peritoneum or posterior rectus sheath to close the peritoneal cavity.
Assuntos
Hérnia Ventral/cirurgia , Omento/transplante , Telas Cirúrgicas , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Cavidade Peritoneal/cirurgia , Peritônio/cirurgia , Reto do Abdome/cirurgiaAssuntos
Hérnia Umbilical/cirurgia , Telas Cirúrgicas , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , PolipropilenosAssuntos
Hérnia Femoral/cirurgia , Hérnia Inguinal/cirurgia , Telas Cirúrgicas , Feminino , Humanos , Ligamentos/cirurgia , MasculinoRESUMO
We present a retrospective study of primary carcinoma of the gallbladder with a total of 41 cases over a period of 11 years. In the majority of cases the clinical presentation (cholelithiasis, choledocholithiasis); there were only 7 cases of suspected diagnosis, mainly through the use of new diagnostic techniques (echography, computerized tomography). The classification used is that described by Nevin (1976) of affection of gallbladder wall and adjacent tissues. The conclusions of our study are as follows: a) primary neoplasias of the gallbladder are aggressive tumours carrying a poor prognosis aggravated usually late diagnosis due to the scarce symptomatology, b) given the high incidence of cholelithiasis, it is advisable to perform routine cholecystectomy, c) survival is related to the histological grading of the tissues.