Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
We present a small series of patients who underwent concomitant treatment of external digestive bypass (stoma) and incisional hernia, using the Lázaro da Silva technique - a special method of purely tissue repair. The rational was not to use meshes on contaminated wounds. Initially, five patients we...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2021-03-01
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| Series: | Iranian Journal of Colorectal Research |
| Subjects: | |
| Online Access: | https://colorectalresearch.sums.ac.ir/article_47427_f46f0d8484bde5fdea06162cd488c978.pdf |
| _version_ | 1811230000810033152 |
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| author | Renato Melo Pedro Oliveira-e-Silva Enio Chaves Oliveira |
| author_facet | Renato Melo Pedro Oliveira-e-Silva Enio Chaves Oliveira |
| author_sort | Renato Melo |
| collection | DOAJ |
| description | We present a small series of patients who underwent concomitant treatment of external digestive bypass (stoma) and incisional hernia, using the Lázaro da Silva technique - a special method of purely tissue repair. The rational was not to use meshes on contaminated wounds. Initially, five patients were enrolled and all were operated on by the same group. Some demographic data were recorded, but also the time interval between the making of the stoma (or the appearance of the enterocutaneous fistula). Some characteristics of the hernia and data related to surgical procedures were also pointed out. The primary outcome was to verify the rate of hernial recurrence, but also the surgical site occurrences in the first 30 days. Only one patient had superficial wound infection and in none of them was a recurrence detected. Our work raises some questions about the best approach in these more complex cases, such as dissociating or not dissociating the procedures, the use of meshes anyway, and employment of mini-invasive surgery in some steps. |
| first_indexed | 2024-04-12T10:21:29Z |
| format | Article |
| id | doaj.art-6e50fa52634c4619ad848bb23656ee2c |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-04-12T10:21:29Z |
| publishDate | 2021-03-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-6e50fa52634c4619ad848bb23656ee2c2022-12-22T03:37:04ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302021-03-0191182310.30476/acrr.2021.90252.108647427Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva techniqueRenato Melo0Pedro Oliveira-e-Silva1Enio Chaves Oliveira2Department of Surgery, School of Medicine, Universidade Federal de Goiás, Goiânia, Brazil Division of Abdominal Wall Hernias, Goiânia General Hospital and Santa Casa de Misericórdia, Goiânia, BrazilSenior Resident in Digestive Surgery, Goiânia General Hospital, Goiânia, BrazilDepartment of Surgery (Colo-Proctology), School of Medicine, Universidade Federal de Goiás (Goiania, BRAZIL)We present a small series of patients who underwent concomitant treatment of external digestive bypass (stoma) and incisional hernia, using the Lázaro da Silva technique - a special method of purely tissue repair. The rational was not to use meshes on contaminated wounds. Initially, five patients were enrolled and all were operated on by the same group. Some demographic data were recorded, but also the time interval between the making of the stoma (or the appearance of the enterocutaneous fistula). Some characteristics of the hernia and data related to surgical procedures were also pointed out. The primary outcome was to verify the rate of hernial recurrence, but also the surgical site occurrences in the first 30 days. Only one patient had superficial wound infection and in none of them was a recurrence detected. Our work raises some questions about the best approach in these more complex cases, such as dissociating or not dissociating the procedures, the use of meshes anyway, and employment of mini-invasive surgery in some steps.https://colorectalresearch.sums.ac.ir/article_47427_f46f0d8484bde5fdea06162cd488c978.pdfintestinal fistulaincisional herniasurgical mesh |
| spellingShingle | Renato Melo Pedro Oliveira-e-Silva Enio Chaves Oliveira Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique Iranian Journal of Colorectal Research intestinal fistula incisional hernia surgical mesh |
| title | Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique |
| title_full | Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique |
| title_fullStr | Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique |
| title_full_unstemmed | Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique |
| title_short | Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique |
| title_sort | concomitant enterostomy closure and ventral abdominal wall reconstruction using the lazaro da silva technique |
| topic | intestinal fistula incisional hernia surgical mesh |
| url | https://colorectalresearch.sums.ac.ir/article_47427_f46f0d8484bde5fdea06162cd488c978.pdf |
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