Asunto(s)
Amputación Traumática , Cuero Cabelludo , Niño , Granjas , Humanos , Microcirugia , Cuero Cabelludo/cirugía , Trasplante de PielRESUMEN
INTRODUCTION: Desmoid tumors are rare soft tissue tumors derived from musculoaponeurotic structures of the abdominal wall musculature. Although they are considered benign tumors because they don't metastasize to other parts of the body, they are clinically considered as malignant for their high tendency on infiltrative growth with local invasion and trend to recurrence after local excision. Several reconstructive techniques are proposed in the literature. METHODS: Nine female patients with abdominal desmoid tumors underwent the removal of a mass of tissue running from the skin to peritoneum near the tumor with a safety margin in macroscopically normal tissue at least of 5 centimeters from the edge of the tumor. After wide excision, a polypropylene mesh was placed in the rear muscular pocket without anchoring suture (sliding mesh sutureless hernioplasty) RESULTS: No patients had perioperative complications or abdominal wall weakness or an incisional hernia in the following 5 years. CONCLUSIONS: We consider this technique of abdominal wall reconstruction after desmoid tumor removal a simple procedure that reduces relapsing events and recurrences of abdominal hernia, reducing tension and pain caused by the traditional suture repair technique. LEVEL OF EVIDENCE: IV.
Asunto(s)
Neoplasias Abdominales/cirugía , Pared Abdominal/cirugía , Fibromatosis Agresiva/cirugía , Procedimientos de Cirugía Plástica/métodos , Neoplasias Abdominales/diagnóstico por imagen , Adulto , Femenino , Fibromatosis Agresiva/diagnóstico por imagen , Herniorrafia/instrumentación , Herniorrafia/métodos , Humanos , Hernia Incisional/prevención & control , Peritoneo/cirugía , Recto del Abdomen/cirugía , Estudios Retrospectivos , Mallas QuirúrgicasRESUMEN
UNLABELLED: Although Mesh Plug Repair (MPR) represents an effective method for the treatment of groin hernia, some criticisms still concern adverse effects related to the plug (shrinkage, chronic pain, migration and erosion). Different mesh and plug devices have been proposed in the past mostly to prevent migration but none of these achieved the same popularity as the cone or flower-shaped plug. Authors hereby present a pilot study with a new tridimensional device, denominated NeT Plug and Patch, that avoids any risk of migration. Results after 12 months follow-up have demonstrated low incidence of postoperative and chronic pain, with both patients and surgeons greatly satisfied. NeT Plug and Patch has proven to achieve a simple and effective repair for primary inguinal hernias. KEY WORDS: Mesh-plug, Plug migration, Trabucco repair.