肉毒毒素A (IncobotulinumtoxinA)和气腹图像引导下疝修补丧失优势。

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.21000616

Sergio E López-Juárez, Alberto Medina-Benítez, Ricardo Durán-Reyes, Bernardo I Bagundo-Pérez, Oscar I Fortuna-Sandoval, Mariana S Trejo-García

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引用次数: 1

摘要

切口后腹疝估计为5-30%，腹腔内容物迁移到疝囊(HSV)， HSV/腹腔体积比> 25%，调节全身性改变，定义为“失域”。一位27岁的男性患者因腹侧疝失去区域，需要术前准备技术，使用肉毒杆菌毒素A (IncobotulinumtoxinA)和气腹，均在图像引导下进行。腹侧成形术使脏器充分返回腹腔。两种技术的结合似乎是进行无张力修复的安全程序。

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Botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum image-guided for hernia repair with loss of dominance.

Post-incisional ventral hernia is estimated at 5-30%, when the content of the abdominal cavity migrates to the hernial sac (HSV), with a HSV/abdominal cavity volume ratio > 25%, conditioning systemic changes defined as "loss of domain". A 27-year-old male presented with ventral hernia with loss of domain that required pre-operative preparation techniques, using application of botulinum toxin A (IncobotulinumtoxinA) and pneumoperitoneum, both guided by image. A ventral plasty was performed with adequate return of the viscera to the abdominal cavity. The combination of both techniques seems to be a safe procedure to carry out a tension-free repair.

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.