{"title":"A 型肉毒毒素在疝修补术前腹壁肌肉康复中的应用：一项共识建议。","authors":"","doi":"10.1016/j.cireng.2023.12.003","DOIUrl":null,"url":null,"abstract":"<div><p>The prehabilitation of the abdominal wall through the infiltration of botulinum toxin type A, which induces temporary chemical denervation (\"chemical component separation\") in the lateral abdominal musculature, is a common practice in units specialized in abdominal wall surgery. However, its use for this indication is currently off-label.</p><p>The main objective of this article is to describe a consensus proposal regarding indications, contraindications, dosages employed, potential side effects, administration method, and measurement of possible outcomes. Additionally, a proposal for an informed consent document endorsed by the Abdominal Wall Section of the Spanish Association of Surgeons is attached.</p></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Use of botulinum toxin type A in the prehabilitation of abdominal wall musculature for hernia repair: a consensus proposal\",\"authors\":\"\",\"doi\":\"10.1016/j.cireng.2023.12.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>The prehabilitation of the abdominal wall through the infiltration of botulinum toxin type A, which induces temporary chemical denervation (\\\"chemical component separation\\\") in the lateral abdominal musculature, is a common practice in units specialized in abdominal wall surgery. However, its use for this indication is currently off-label.</p><p>The main objective of this article is to describe a consensus proposal regarding indications, contraindications, dosages employed, potential side effects, administration method, and measurement of possible outcomes. Additionally, a proposal for an informed consent document endorsed by the Abdominal Wall Section of the Spanish Association of Surgeons is attached.</p></div>\",\"PeriodicalId\":93935,\"journal\":{\"name\":\"Cirugia espanola\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cirugia espanola\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2173507724000462\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia espanola","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2173507724000462","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
A 型肉毒毒素可诱导侧腹肌肉组织暂时性化学去神经支配（"化学成分分离"），通过这种方法对腹壁进行预康复治疗，是腹壁外科专科的常见做法。然而，目前将其用于这一适应症还属于非标签使用。本文的主要目的是就适应症、禁忌症、使用剂量、潜在副作用、给药方法和可能结果的测量等方面描述一项共识提案。此外，本文还附有西班牙外科医生协会腹壁分会认可的知情同意书建议。
Use of botulinum toxin type A in the prehabilitation of abdominal wall musculature for hernia repair: a consensus proposal
The prehabilitation of the abdominal wall through the infiltration of botulinum toxin type A, which induces temporary chemical denervation ("chemical component separation") in the lateral abdominal musculature, is a common practice in units specialized in abdominal wall surgery. However, its use for this indication is currently off-label.
The main objective of this article is to describe a consensus proposal regarding indications, contraindications, dosages employed, potential side effects, administration method, and measurement of possible outcomes. Additionally, a proposal for an informed consent document endorsed by the Abdominal Wall Section of the Spanish Association of Surgeons is attached.
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