Seven years of preoperative BTA abdominal wall preparation and the Macquarie system for surgical management of complex ventral hernia

Autor:	Anita Jacombs, M. Wehrhahn, K. Salazar, Kevin Ho-Shon, Omar Rodriguez-Acevedo, Kristen E. Elstner, John W. Read, Nabeel Ibrahim
Rok vydání:	2021
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Physical examination medicine.disease Surgery Botulinum toxin a Abdominal wall medicine.anatomical_structure Pneumoperitoneum Ventral hernia medicine Hernia Laparoscopy business Abdominal surgery
Zdroj:	Hernia. 26:109-121
ISSN:	1248-9204 1265-4906
DOI:	10.1007/s10029-021-02428-2
Popis:	To assess 7-year outcomes after complex ventral hernia (CVH) repair using pre-operative Botulinum toxin A (BTA) injection and the Macquarie System of management. Clinical examination and functional non-contrast abdominal CT scans were used to assess complications and recurrences encountered in a prospective series of 88 consecutive CVH repairs using pre-operative BTA injection (200 or 300 units) between November 2012 and December 2019. Pre-operative progressive pneumoperitoneum (PPP) and/or component separation (CS) were also used in some cases. All hernia defects (mean transverse width 12.9 ± 5.2 cm) were successfully closed using either laparoscopic or laparoscopic-assisted open techniques facilitated by pre-operative BTA injection. The mean pre-operative post-BTA lateral oblique length gain was 4.7 ± 2.2 cm/side (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::96c8d7e9d432b924e8c0a2fb6b20002a https://doi.org/10.1007/s10029-021-02428-2 Zobrazit plný text záznamu Full text from SpringerLink