RESUMO
The heterotopic ossification (HO) on abdominal scars is a rare but very unconfortable finding. It causes pain, induration and discomfort in the scar, leading patients to undergo reoperation. This report aims to describe a case of HO, and especially to call attention of surgeons to fibroblast transforming potential, once its close relationship with HO is undeniable. Therefore the surgeon should endeavor all atempts on good surgical practice to avoid HO occurrence. He should also associate pure tissue repair techniques to prosthetic management of incisional hernias, in the hope that patient's fibroblast grow factors can be offered to the wound healing as a biologically reinforcement of the repair.
Assuntos
Cicatriz/complicações , Hérnia Ventral/complicações , Ossificação Heterotópica/complicações , Adulto , Humanos , MasculinoRESUMO
O achado de ossificação heterotópica (OH) sobre cicatriz cirúrgica abdominal é um evento raro, mas que soma morbidade ao paciente. Manifesta-se por dor, endurecimento ou desconforto na cicatriz, levando a novas abordagens cirúrgicas. Relatamos um caso de OH no saco herniário incisional com o objetivo precípuo de chamar a atenção para o potencial "totipotente" do fibroblasto, já que sua íntima relação com a OH é inegável. A partir dessa prerrogativa, qualquer forma de tratamento das hérnias incisionais deveria associar o reparo tecidual ao uso de prótese (tela), para enriquecê-lo com os fibroblastos e seus fatores de crescimento celular do próprio paciente, todos autólogos e prontos para uso. A tática é oferecer uma abordagem combinada ou mista, com menores chances de recidiva na correção dessas afecções.
The heterotopic ossification (HO) on abdominal scars is a rare but very unconfortable finding. It causes pain, induration and discomfort in the scar, leading patients to undergo reoperation. This report aims to describe a case of HO, and especially to call attention of surgeons to fibroblast transforming potential, once its close relationship with HO is undeniable. Therefore the surgeon should endeavor all atempts on good surgical practice to avoid HO occurrence. He should also associate pure tissue repair techniques to prosthetic management of incisional hernias, in the hope that patient's fibroblast grow factors can be offered to the wound healing as a biologically reinforcement of the repair.
