SciELO - Scientific Electronic Library Online

 
vol.57 número2Síndrome de la vena cava superior por adenocarcinoma de pulmón a forma mediastinalOsteosíntesis de múltiples fracturas costales desplazadas en un paciente con tórax batiente índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

  • Não possue artigos citadosCitado por SciELO

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Revista Cubana de Cirugía

versão On-line ISSN 1561-2945

Resumo

ADEFNA PEREZ, Radamés Isaac; LEAL MURSULI, Armando; IZQUIERDO LARA, Francoise T  e  RAMOS DIAZ, Nélida. The component separation technique as surgical adjuvant in suprapubic hernia repair. Rev Cubana Cir [online]. 2018, vol.57, n.2, pp. 1-9. ISSN 1561-2945.

Suprapubic incisional hernia is a rare disease, generally the result of pelvic surgeries, especially those approaching the retropubic space of Retzius. To report the results of the surgical treatment of the suprapubic hernia by means of the traditional procedure of Rives-Stoppa associated to the component separation technique with polypropylene bioprosthesis as reinforcement. Three patients with large suprapubic hernias are reported. These were defined as: any defect located at a distance of no more than 5 cm from the symphysis pubis with diameter of the hernial ring over 10 cm at its major axis measured trans-operatively. Three patients, one man and two women were operated. The first, with a history of retropubic prostatectomy and the last two, with a history of gynecological surgery. In the first, the operation of Rives-Stoppa was complemented with the component separation technique and supra-aponeurotic reinforcement. For the last two, we preferred the posterior component separation in order to avoid extensive anterior dissection. The most frequent complications were seromas and, to date, no relapses have been reported. Preperitoneal repair combined with the technique of anterior or posterior component separation are valid alternatives in the repair of complex incisional hernias, such as suprapubic hernias. This allowed closure of the aponeurotic defect to cover and protect the bioprosthesis with the consequent reconstruction of the linea alba.

Palavras-chave : suprapubic hernia; component separation; bioprosthesis.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License