Upper Abdominal Wall Defects
| Autor: | C. M. Herman, Malcolm D. Walkinshaw, A. C. Eddy, Jourdan R. Gottlieb, Loren H. Engrav |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Xiphoid process Surgical Flaps Abdominal wall Postoperative Complications Fascia lata Fascia Lata medicine Humans Upper abdomen Abdominal Muscles business.industry Muscles Fascia Middle Aged Surgical Mesh Surgery medicine.anatomical_structure Surgical mesh Abdomen Radiology business |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/00006534-199008000-00013 |
| Popis: | One-stage reconstruction of the central and lower abdominal wall with vascularized tissue has been well described. A few cases of one-stage reconstruction of the upper abdomen also are reported. We attempted this procedure in six of seven patients who had large abdominal wall defects that reached the xiphoid process. In three patients, the intraabdominal parts of the procedures went well and the reconstructive goals were accomplished. In three other patients, prolonged and difficult intraabdominal operations resulted in considerable intestinal dilatation that compromised the reconstruction. We therefore recommend being prepared to abort a planned immediate abdominal wall reconstruction following a difficult intraabdominal operation. The abdomen should be temporarily closed with skin flaps, skin grafts, or absorbable mesh, and definitive reconstruction of the fascia should be done at a later operation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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