Cases reported "Hernia, Ventral"

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11/21. Anterior abdominal wall reconstruction with a Permacol implant.

    Laparostomy wound management is a difficult problem especially with a stoma and the potential risk of infection. A case describing the use of a permanent porcine dermal collagen implant in the repair of a massive ventral hernia, in a patient with a large post-laparostomy defect and colostomy is outlined. The implant was not rejected, and after 12 months, there was no evidence of residual or recurrent hernia. The search for the ultimate biomaterial for reconstructing abdominal wall defects is ongoing. collagen based implants appear to have many of the requirements that an ideal material should possess.
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ranking = 1
keywords = wound
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12/21. The extended latissimus dorsi flap in repair of anterior abdominal wall defects.

    Large abdominal wall defects (ventral hernias) can be difficult to repair. Some defects are not amenable to primary repair or the use of synthetic mesh because of repeated recurrence or wound infection. In complicated situations such as that mentioned above, the extended latissimus dorsi muscle flap has been used to repair upper and middle abdominal wall defects. This method has been utilized in six patients, and there has been no recurrence of the defect or evidence of a lumbar hernia. The follow-up has been from 7 to 66 months. The extended latissimus dorsi muscle flap has proven to be an excellent alternative in the repair of complicated abdominal wall defects.
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ranking = 25.433772269342
keywords = wound infection, wound
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13/21. Conservative treatment of abdominal stab wounds with omental protrusion.

    Two cases of abdominal stab wounds with omental protrusion treated conservatively are presented. Omental protrusion in a patient without signs of shock or peritoneal irritation is not an absolute indication for explorative laparotomy.
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ranking = 5
keywords = wound
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14/21. Ventral bladder hernia following Marshall-Marchetti-Krantz procedure for stress urinary incontinence.

    Ventral herniation of the bladder occurred in 2 patients following Marshall-Marchetti-Krantz procedures for stress incontinence. Symptoms included suprapubic pain, urgency, incontinence, and a ventral abdominal hernia. The diagnosis was easily established by cystography in both patients. Possible etiologic factors included postoperative wound infection in 1 patient and possibly suspension of the anterior bladder to the pubis in the other.
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ranking = 25.433772269342
keywords = wound infection, wound
(Clic here for more details about this article)

15/21. Complications of gastric restrictive operations in morbidly obese patients.

    After gastric restrictive procedures in morbidly obese persons, the reported morbidity is 15 per cent, and mortality is 1 per cent. pulmonary embolism continues to be the most serious complication. Gastric perforations must be recognized early and treated promptly, as must the common postoperative complications: pneumonia, atelectasis, and wound infection.
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ranking = 25.433772269342
keywords = wound infection, wound
(Clic here for more details about this article)

16/21. Incarcerated trocar-wound hernia after laparoscopic hysterectomy. Is closure of large trocar fascia defects after laparoscopy necessary?

    An incarcerated hernia through a 12-mm laparoscopic trocar wound, causing small bowel subobstruction, was diagnosed in a 50-year-old female patient following a laparoscopic hysterectomy 1 month earlier. Trocar-wound hernias causing early postoperative bowel obstruction are very rare. Insertion of trocars at a narrow angle to the abdominal wall may cause larger fascia defects than the actual size of the trocar. Manual examination and closure of large defects, if possible, may prevent such complications.
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ranking = 6
keywords = wound
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17/21. Strangulated incisional hernia at trocar site.

    An incisional hernia at a trocar site after laparoscopy may arise from infection, premature suture disruption, or failure to adequately reapproximate fascial wound edges. The condition is accurately diagnosed postoperatively on physical examination, and a bulge at a previous port site should immediately raise suspicion. A case is reported in which an incisional hernia strangulated soon after an elective laparoscopic inguinal herniorrhaphy in which, the fascia of the 10-mm trocar site was not closed. This report underscores the importance of meticulous closure of all abdominal port sites > 5 mm. Furthermore, early diagnosis of an incarcerated hernia may avoid the morbidity of an extensive intestinal resection.
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ranking = 1
keywords = wound
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18/21. Treatment of chronic, nonhealing abdominal wound in a liquid environment.

    A 66-year-old woman with an abdominal wound caused by infected synthetic mesh had failed to heal in spite of many surgical attempts to close the wound. A sealed transparent vinyl chamber was glued to the periphery of the wound and antibiotics in high concentrations (up to 2,500 times the minimum inhibitory concentration) were delivered through the chamber. The wound fluid in the chamber was used for analysis of microbial activity, concentration of residual antibiotics, and growth factor activity. After 10 weeks of treatment, the wound was closed and has not recurred in 24 months.
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ranking = 9
keywords = wound
(Clic here for more details about this article)

19/21. Complex abdominal-perineal reconstruction: options after pelvic bone resection.

    Reconstruction of abdominal-perineal wounds after tumor extirpation presents the plastic surgeon with a variety of complex reconstructive options. These options are complicated by the resection of the bony pelvis. Two cases are presented that combine the use of synthetic mesh for pelvic ring and floor reconstruction with soft tissue to protect the intraabdominal viscera. Techniques and approaches to the patient undergoing such reconstruction are reviewed.
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ranking = 1
keywords = wound
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20/21. Drain site evisceration of the appendix: report of a case.

    We report herein the case of a patient in whom evisceration of the appendix occurred at the site of a drain placed in the right lower quadrant of the abdomen. Because the appendix had become adhered to the side-hole of the drain with an external diameter of 11 mm, it was pulled out attached to the drain. Consequently, the stab wound incision of the drain was extended and an appendectomy was performed under general anesthesia. Thus, drains with a small diameter should be used whenever possible, and side-holes not having any influence on the drainage should be avoided.
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ranking = 1
keywords = wound
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