Reconstruction of the abdominal wall: a case series
INTRODUCTION: Patients with abdominal wall defects present challenging complications that require the use of advanced surgical approaches. METHODS: This primary, retrospective, and descriptive study evaluated patients who underwent abdominal wall reconstruction at the Plastic Surgery Ser...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2018-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1916/en_v33n1a09.pdf |
| _version_ | 1797420047177613312 |
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| author | Kelson Kawamura Igor Chaves Gomes Luna Rafael Anlicoara Priscila da Silva Lopes Marcel Fernando Miranda Batista Lima |
| author_facet | Kelson Kawamura Igor Chaves Gomes Luna Rafael Anlicoara Priscila da Silva Lopes Marcel Fernando Miranda Batista Lima |
| author_sort | Kelson Kawamura |
| collection | DOAJ |
| description | INTRODUCTION: Patients with abdominal wall defects present challenging complications that require the use of advanced surgical approaches.
METHODS: This primary, retrospective, and descriptive study evaluated patients who underwent abdominal wall reconstruction at the Plastic Surgery Service of the Clinics Hospital of the Federal University of Pernambuco.
RESULTS: The medical records of 18 patients were reviewed, including 15 women (83.3%) and 3 men (16.7%), with a mean age of 41 years (range, 16-79 years). Seventeen patients (94.4%) had a history of previous surgery. The causes of abdominal injury were cesarean section in eight cases (44.4%), oncologic surgery in six (33.3%), trauma surgery in two (11.1%), and bariatric surgery in two (11.1%). The etiology of the defect was necrotizing fasciitis in eight cases (44.4%), incisional hernia in four (22.2%), trauma in two (11.1%), surgical wound dehiscence in two (11.1%), abdominal wall neoplasia in two (11.1%), and total thickness defect in one (5.5%). The surgical interventions included the component separation technique in seven cases (38.9%), simple VY advancement flap in six (33.3%), closure with abdominoplasty in three (16.7%), and tissue expander in two (11.1%). Four patients (22.2%) presented complications.
CONCLUSIONS: Abdominal wall defects are challenging cases for plastic surgeons, as their treatment is difficult, but the results are satisfactory even in the most severe cases. |
| first_indexed | 2024-03-09T06:57:01Z |
| format | Article |
| id | doaj.art-48d99766cd164425afb5c0c86e958981 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:57:01Z |
| publishDate | 2018-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-48d99766cd164425afb5c0c86e9589812023-12-03T10:02:51ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352018-03-013301566310.5935/2177-1235.2018RBCP0009Reconstruction of the abdominal wall: a case seriesKelson Kawamura0Igor Chaves Gomes Luna1Rafael Anlicoara2Priscila da Silva Lopes3Marcel Fernando Miranda Batista Lima4Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, BrazilINTRODUCTION: Patients with abdominal wall defects present challenging complications that require the use of advanced surgical approaches. METHODS: This primary, retrospective, and descriptive study evaluated patients who underwent abdominal wall reconstruction at the Plastic Surgery Service of the Clinics Hospital of the Federal University of Pernambuco. RESULTS: The medical records of 18 patients were reviewed, including 15 women (83.3%) and 3 men (16.7%), with a mean age of 41 years (range, 16-79 years). Seventeen patients (94.4%) had a history of previous surgery. The causes of abdominal injury were cesarean section in eight cases (44.4%), oncologic surgery in six (33.3%), trauma surgery in two (11.1%), and bariatric surgery in two (11.1%). The etiology of the defect was necrotizing fasciitis in eight cases (44.4%), incisional hernia in four (22.2%), trauma in two (11.1%), surgical wound dehiscence in two (11.1%), abdominal wall neoplasia in two (11.1%), and total thickness defect in one (5.5%). The surgical interventions included the component separation technique in seven cases (38.9%), simple VY advancement flap in six (33.3%), closure with abdominoplasty in three (16.7%), and tissue expander in two (11.1%). Four patients (22.2%) presented complications. CONCLUSIONS: Abdominal wall defects are challenging cases for plastic surgeons, as their treatment is difficult, but the results are satisfactory even in the most severe cases.http://www.rbcp.org.br/export-pdf/1916/en_v33n1a09.pdfabdominal wallreconstructionnecrotizing fasciitisabdominal herniaventral hernia |
| spellingShingle | Kelson Kawamura Igor Chaves Gomes Luna Rafael Anlicoara Priscila da Silva Lopes Marcel Fernando Miranda Batista Lima Reconstruction of the abdominal wall: a case series Revista Brasileira de Cirurgia Plástica abdominal wall reconstruction necrotizing fasciitis abdominal hernia ventral hernia |
| title | Reconstruction of the abdominal wall: a case
series |
| title_full | Reconstruction of the abdominal wall: a case
series |
| title_fullStr | Reconstruction of the abdominal wall: a case
series |
| title_full_unstemmed | Reconstruction of the abdominal wall: a case
series |
| title_short | Reconstruction of the abdominal wall: a case
series |
| title_sort | reconstruction of the abdominal wall a case series |
| topic | abdominal wall reconstruction necrotizing fasciitis abdominal hernia ventral hernia |
| url | http://www.rbcp.org.br/export-pdf/1916/en_v33n1a09.pdf |
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