Asunto(s)
Cistitis Intersticial/terapia , Encefalinas/genética , Terapia Genética/métodos , Manejo del Dolor , Precursores de Proteínas/genética , Enfermedades de la Vejiga Urinaria/terapia , Vías Aferentes/efectos de los fármacos , Vías Aferentes/fisiología , Animales , Capsaicina , Encefalinas/metabolismo , Femenino , Vectores Genéticos/uso terapéutico , Herpesviridae , Dolor/inducido químicamente , Precursores de Proteínas/metabolismo , Ratas , Vejiga Urinaria/efectos de los fármacos , Vejiga Urinaria/inervación , Enfermedades de la Vejiga Urinaria/inducido químicamenteRESUMEN
We describe a reliable and simple technique of parastomal hernia repair using primary fascial repair with synthetic mesh that minimizes the known complications of infection and stomal stenosis while eliminating the need for peritoneal exploration, lysis of adhesions, and relocation of the stoma. We applied this technique to 6 patients (aged 65 to 83 years) with symptomatic, first-time parastomal hernias. The results are discussed.
Asunto(s)
Hernia Ventral/cirugía , Mallas Quirúrgicas , Estomas Quirúrgicos/efectos adversos , Derivación Urinaria/efectos adversos , Anciano , Anciano de 80 o más Años , Hernia Ventral/etiología , Humanos , Tiempo de Internación , Cuidados PreoperatoriosRESUMEN
We report a case of osteomyelitis with metastasis to the T10 vertebra related to bone anchor use with pubovaginal sling. The morbidity was significant: long-term intravenous antibiotics, multiple surgeries to correct the problem, and subsequent chronic pelvic pain. Given that this complication is unheard of after standard fascia or allograft sling, consideration should be given before bone anchor use in women at risk for wound infection (diabetes, obesity, or reoperation). Minimally, patients should be told of the possibility of this severe complication in the informed consent with bone anchor use.