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At least 847 records · Page 47Linked to original sources
PubMed1984

Reconstruction of a large lateral abdominal wall defect with an ilio-lumbar bi-pedicled flap.

An ilio-lumbar bi-pedicled flap was used for the reconstruction of a large lateral abdominal wall defect with a fascia lata graft to provide the musculo-fascial layer. This flap is simple and safe because it includes both the superficial circumflex iliac vessels and the perforating cutaneous branches of the lumbar vessels. We regard it as the method of choice in the repair of major defects of the lateral abdominal wall.

Abdominal Muscles↗
PubMed1999

Abdominal-wall myositis secondary to intra-arterial chemotherapy for femoral osteosarcoma.

With the increasing application of intra-arterial chemotherapy (IAC), new side-effects are encountered. We describe two children with proximal femoral osteosarcoma who developed focal myositis of the abdominal wall musculature after IAC. In both cases, myositis presented as abdominal pain and mimicked acute abdomen. US demonstrated asymmetrical thickening of abdominal-wall musculature in the right lower abdomen. This diagnosis should be considered when evaluating the patient with unexplained abdominal pain and a history of IAC.

Abdominal Muscles↗
PubMed1986

Measurement of compliance of the maternal abdominal wall in pregnancy.

Recent importance in the signal-to-noise ratio of fetal phonocardiograms has been attributed to a 'compliance-matching' between the phono-sensor and the maternal abdominal wall. We have developed a device to measure objectively the compliance of the maternal abdominal wall in pregnancy. Using this we have shown that the compliance varies considerably from patient to patient and that it varies most significantly (and inversely) with gestational age. As a result of this study we are now in a better position to optimize the compliance-matching of phono-sensors and thereby to detect fetal heart sounds with much more fidelity than hitherto.

Abdominal Muscles↗
PubMed2004

Neurovascular latissimus dorsi free-flap transfer for reconstruction of a major abdominal-wall defect in a 13-month-old child: late follow-up.

The authors present a late follow-up of a pediatric case originally reported in the Journal, involving a newborn with a left gastroschisis, exposure of the stomach, jejunum, and left colon. Subsequent to placement of silicone mesh, the child developed a nosocomial infection, which led to necrosis of the skin, subcutaneous tissue, and muscle. Post infection control, the abdominal viscera were covered with only skin and subcutaneous tissue. At 13 months, the abdominal-wall defect was reconstructed with a free latissimus dorsi microneurovascular flap. A current late follow-up at 9.5 years demonstrates mean normal growth, good abdominal-wall resistance and contraction, and caudal scar migration, with little visibility.

Abdominal Wall↗
PubMed2004

Glycerol preserved bovine pericardium for abdominal wall reconstruction: experimental study in rat model.

The aim of this study was to evaluate bovine pericardium surgical patch in rat model. Bovine pericardial sacs collected from local abattoir were cleaned, disinfected and cut into pieces of 3 by 2.5cm and preserved in 99.5% glycerol. Full thickness abdominal wall defects of 3 by 2.5 cm were created in 30 adult male Sprague Dawley rats and repaired with glycerol preserved pieces. The rats were serially sacrificed in a group of six rats at 1,3,6,9 and 18 weeks post-surgical intervals for morphological and tensometeric study. Macroscopically, no mortality or postoperative surgical complications was encountered except slight adhesions between implanted grafts and some visceral organs in 10% of the rats. Microscopically no calcification or foreign body giant cell formation was found in the explanted grafts. The implanted grafts were replaced gradually with recipient tissue, which made mainly of dense collagenous bundles. The healing strength between the implanted grafts and the recipient abdominal wall was gradually increased with time. The results of this study showed that glycerol preserved bovine pericardium act as scaffold for transformation into living tissue without clinical complications such as that associated with prostheses.

Abdominal Wall↗
PubMed2005

Anchor-line abdominoplasty: a comprehensive approach to abdominal wall reconstruction and body contouring.

BACKGROUND: Classic abdominoplasty leads to disappointing aesthetic results in patients with preexisting supraumbilical scars. Various techniques involving vertical and horizontal incisions have been described. The authors point out the validity of the "anchor-line" approach. METHODS: In a retrospective study, the authors reviewed the charts of 42 patients who underwent an anchor-line abdominoplasty between March of 1997 and March of 2003 at the Campus Bio-Medico University in Rome. The vascular anatomy of the abdominal wall was carefully reviewed, and they reported Huger's classification into three zones (zones I, II, and III). The third zone, which corresponds to the lateral areas of the abdomen, provides the vascular supply to the undermined abdominal wall flaps. Whenever this lateral vascularization is spared, there is no risk of skin necrosis. The anchor-line abdominoplasty implies the en bloc resection of a lower horizontal ellipsis plus an upper vertical triangle of abdominal skin and subcutaneous fat. The vertical triangle entails the supraumbilical scars. Plication of the rectus muscle sheath is always carried out. RESULTS: Follow-up ranged from 1 to 5 years. The following complications were seen: seroma (n = 3), anemia (n = 2), infection (n = 1), and minor skin necrosis (n = 1). CONCLUSION: The anchor-line technique, because of its easy execution, is a valid procedure in candidates for an abdominoplasty with supraumbilical median or paramedian scars.

Abdominal Wall↗
PubMed2003

Cystadenocarcinoma of the abdominal wall following caesarean section: case report and review of the literature.

OBJECTIVES: Endometriosis affecting surgical scars is a well-described entity that can complicate surgery involving hysterotomies. Malignant transformation is a rare event that has been reported complicating ovarian endometriosis mainly. CASE: A 60-year-old woman having in the past two uneventful caesarean deliveries presented with a solid lower abdominal mass. A surgical biopsy and then a radical resection of the lower half of the abdominal wall were performed, with a diagnosis of adenocarcinoma of endometrial origin. A diagnostic curettage excluded primary endometrial carcinoma. At 1 year she is NED. CONCLUSIONS: This case report illustrates the carcinomatous transformation of an endometrial implant. Despite the rarity of such a diagnosis, it should be borne in mind when endometriosis in abdominal wall is suspected because an oncological resection is required.

Abdominal Neoplasms↗
PubMed2002

Incidence of abdominal wall hernias in patients undergoing aortic surgery for aneurysm or occlusive disease.

BACKGROUND: The aim of this study was to compare the incidence of abdominal and incisional hernias in patients with abdominal aortic aneurysm (AAA) versus patients with aortoiliac occlusive disease (AOD). PATIENTS AND METHODS: The study included retrospectively 121 patients, who underwent elective aortic surgery due to AAA (n = 63) or AOD (n = 58) in the period between January 1998 and January 2000. The patients were examined for the presence of abdominal hernias upon admission, as well as for the development of incisional hernias on follow-up. RESULTS: The incidence of inguinal hernias was significantly higher in the group AAA (21/6-33.3%) compared to the group with AOD (6/58-10.3%) (p < 0.01). The incidence of other abdominal wall hernias (umbilical, epigastric or miscellaneous hernias) was also significant higher in AAA group. Furthermore, the incidence of inguinal hernias was significantly higher in the subgroup of patients with an aneurysm diameter more than 6 cm (41.5% vs 18.2%, p < 0.05). The mean follow-up of the patients was 1.7 +/- 0.3 years. 7 cases of incisional hernia were noted in the AAA group (11.1%) and only 2 cases in the AOD group (3.4%) (p < 0.05). The size of the aneurysm had no influence on the incidence of incisional hernias in the AAA group. CONCLUSION: We conclude that there seems to be an increased incidence of abdominal wall hernias as well as postoperative incisional hernias in patients undergoing aortic surgery for aneurysm disease compared with aortoiliac occlusive disease.

Aged↗
PubMed1992

[Utility of intra-bladder pressure monitoring during closure of abdominal wall defects in newborn infants].

Recently, it was demonstrated that intra-bladder pressure (IBP) measured through a transurethral catheter accurately reflects intra-abdominal pressure (IAP). We monitored IBP during closure of abdominal wall defects in three newborn infants with gastroschisis. We were able to avoid complications due to increased IAP by keeping IBP below 20 mmHg. IBP correlated well with inferior vena cava pressure (r = 0.93) which reflects IAP. We advocate the use of IBP monitoring as a simple and reliable means of indirectly determining IAP during operations for closure of abdominal wall defects in newborn infants with omphalocele or gastroschisis.

Abdomen↗
PubMed1999

[Nephrostomy of which catheter can be introduced from the abdominal wall].

AIM OF STUDY: The aim of this study is to find out the method for the nephrostomy of which catheter can be introduced from the abdominal wall. METHODS: Subjects were the 7 patients whose agreement for this new method could be obtained. After the general nephrostomy was performed, 3 cm skin incision to the outer portion of nephrostomy, as well as 5 mm skin incision to the abdominal wall were added, and the subcutaneous tunnel between the both skin incisions was made using the special tunneler. A guide wire was introduced into the renal pelvis through the subcutaneous tunnel, and then 14 F Maleocot catheter was introduced from the abdominal skin incision to the renal pelvis. At the skin incision of the nephrostomy, catheter and subcutaneous tissue were fixed using 3-0 cutgut suture to prevent the outcomming of the catheter. RESULTS: In case 1 to case 4 showed some trouble, but case 5 to 7 showed no trouble. The operation time and the extent of invasion of our method were as well as that of the general nephrostomy, but the managements by the patients were as simple as that of the ureterocutaneostomy. CONCLUSION: The quality of our patients seem to close to that of uretero-cutaneostomy. And for the patients who have hydronephrosis after several type of urinary diversions, our method should be recommendable than the general nephrostomy.

Abdominal Muscles↗
PubMed1980

[Gas gangrene of the abdominal wall after cholecystectomy; recovery (author's transl)].

A patient, 50 years of age, underwent cholecystectomy for gallstones. 62 hours later the first symptoms of a clostridial infection of the abdominal wall could be observed. 8 hours later the re-operation was carried out. Three quarters of the muscles of the abdominal wall had to be removed, the peritoneum could be preserved. The patient recovered. One and a half year later pressure readings of the abdomen were taken.

Abdominal Muscles↗