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Veronesi P, Origi M, Pappalardo V, Zuliani W, Sahoo M, Radu V, Radu A, Ene S, Lica M, Nahabet E, Stulberg J, Majumbder A, Sanchez E, Novitsky Y, Morales-Conde S, Sanchez-Ramirez M, Alarcón I, Barranco A, Gómez-Menchero J, Suárez JM, Bellido J, Socas M, López-Quindós P, García-Ureña MA, Aguilera A, Blázquez L, Cruz A, Galván A, González E, Jiménez C, López-Monclús J, Melero D, Palencia N, Robin A, Becerra R, Lopez-Monclus J, Garcia-Ureña MA, Blazquez-Hernando LA, Melero-Montes DA, Jimenez-Ceinos C, Becerra-Ortiz R, Lopez-Quindos P, Galvan A, García-Ureña M, Movilla AS, Blázquez D, Montes DM, Valle de Lersundi AR, Cidoncha AC, Pavía AG, Quindós PL, García M, García S, Di Maio V, Marte G, Ferronetti A, Canfora A, Mauriello C, Bottino V, Maida P, Berta R, Bellini R, Mancini R, Moretto C, Anselmino M, Cumbo P, Roberti L. Topic: Incisional Hernia - "Difficult case" as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst abdomen, reconstruction of the entire wall. Hernia 2015; 19 Suppl 1:S350-3. [PMID: 26518844 DOI: 10.1007/bf03355389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- P Veronesi
- Humanitas Mater Domini Clinical Institute, Castellanza, Italy
| | | | | | | | - M Sahoo
- S.C.B Medical College, Cuttack, India
| | - V Radu
- Life Memorial Hospital, Bucharest, Romania
| | | | | | | | - E Nahabet
- University Hospitals Case Medical Center, Cleveland, USA
| | | | | | | | | | | | | | - I Alarcón
- Hospital Universitario Virgen del Rocio, Sevilla, Spain
| | - A Barranco
- Hospital Universitario Virgen del Rocio, Sevilla, Spain
| | | | - J M Suárez
- Hospital Quirón-Sagrado Corazón, Sevilla, Spain
| | - J Bellido
- Hospital Quirón-Sagrado Corazón, Sevilla, Spain
| | - M Socas
- Hospital Universitario Virgen del Rocio, Sevilla, Spain
| | | | | | - A Aguilera
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - L Blázquez
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - A Cruz
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - A Galván
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - E González
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - C Jiménez
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - J López-Monclús
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - D Melero
- Department of Surgery, Henares Hospital, Madrid, Spain
| | - N Palencia
- Department of Surgery, Henares Hospital, Madrid, Spain.,General Surgery Department, Henares Hospital, Coslada, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - A Robin
- Department of Surgery, Henares Hospital, Madrid, Spain.,General Surgery Department, Henares Hospital, Coslada, Spain
| | - R Becerra
- Department of Surgery, Henares Hospital, Madrid, Spain.,Hospital Universitario del Henares, Coslada, Spain
| | - J Lopez-Monclus
- General Surgery Department, Henares Hospital, Coslada, Spain
| | | | | | | | | | - R Becerra-Ortiz
- General Surgery Department, Henares Hospital, Coslada, Spain
| | - P Lopez-Quindos
- General Surgery Department, Henares Hospital, Coslada, Spain
| | - A Galvan
- General Surgery Department, Henares Hospital, Coslada, Spain
| | | | | | - D Blázquez
- Hospital Universitario del Henares, Coslada, Spain
| | | | | | | | | | | | - M García
- Hospital Universitario del Henares, Coslada, Spain
| | - S García
- Hospital Universitario del Henares, Coslada, Spain
| | | | - G Marte
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - A Ferronetti
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - A Canfora
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - C Mauriello
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - V Bottino
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - P Maida
- Ospedale Evangelico Villa Betania, Napoli, Italy
| | - R Berta
- Bariatric and Metabolic Surgery Unit, University Hospital, Pisa, Italy
| | | | | | | | | | - P Cumbo
- Struttura complessa Chirurgia Generale, San Lorenzo di Carmagnola, Italy
| | - L Roberti
- Struttura complessa Chirurgia Generale, San Lorenzo di Carmagnola, Italy
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Robin-Lersundi A, Vega Ruiz V, López-Monclús J, Cruz Cidoncha A, Abella Alvarez A, Melero Montes D, Blazquez Hernando L, García-Ureña MA. Temporary abdominal closure with polytetrafluoroethylene prosthetic mesh in critically ill non-trauma patients. Hernia 2014; 19:329-37. [PMID: 24916420 DOI: 10.1007/s10029-014-1267-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2013] [Accepted: 05/23/2014] [Indexed: 01/12/2023]
Abstract
BACKGROUND Survival in critically ill non-trauma patients may be improved by performing temporary abdominal closure using different surgical techniques. We describe the use of expanded polytetrafluoroethylene (ePTFE) mesh for temporary abdominal closure in a group of critical patients. We also evaluate definitive abdominal wall closure in these patients once they are in a stable condition. METHOD We conducted a study of 29 critically ill non-trauma patients who underwent temporary abdominal closure due to sepsis or abdominal compartment syndrome over 7 years at two university hospitals. We analysed factors related to surgical wound type and definitive abdominal wall closure. We evaluated the SAPS 3 severity score and used it to obtain expected mortality. We used the Clavien-Dindo System for Surgical Complications and the Ventral Hernia Working Group Classification during follow-up. RESULTS Performing temporary abdominal closure with expanded polytetrafluoroethylene mesh was associated with a mortality rate of 20.68%, which was lower than the expected mortality calculated from the SAPS 3 severity score (38.87 ± 21.60). There was no fistula formation related with this type of prosthetic material. In our study group, definitive abdominal wall closure was performed in the 16 patients who survived (69.5%), and six of them underwent this procedure during the original hospital stay. CONCLUSION Temporary abdominal closure with ePTFE mesh is an effective alternative in some circumstances. We observed a higher survival rate than the predicted figure and there were no cases of enteroatmospheric fistulae using this particular surgical technique. ePTFE facilitates definitive abdominal wall closure, once the patient is in a stable condition.
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Affiliation(s)
- A Robin-Lersundi
- Department of Surgery, Servicio de Cirugía General y Aparato Digestivo, Hospital del Henares, Avda. Marie Curie s/n., 28822, Coslada, Madrid, Spain,
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