A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities
The variation of the components' separation technique, which uses the anterior rectus sheath and the release of the oblique muscles, proved to be effective in tension reduction. This paper aimed to present the initial experience using a variation that preserves semilunaris through the incision...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-02-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735419 |
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| author | Marcus Vinícius Jardini Barbosa Fábio Xerfan Nahas Lydia Masako Ferreira |
| author_facet | Marcus Vinícius Jardini Barbosa Fábio Xerfan Nahas Lydia Masako Ferreira |
| author_sort | Marcus Vinícius Jardini Barbosa |
| collection | DOAJ |
| description | The variation of the components' separation technique, which uses the anterior rectus sheath and the release of the oblique muscles, proved to be effective in tension reduction. This paper aimed to present the initial experience using a variation that preserves semilunaris through the incision of the lateral aspect of the rectus sheath. All of the 12 patients presented an abdominal wall defect that included incisional hernia, peritoneostomy, lateral implantation of the rectus muscle, and defect secondary to TRAM flap. The separation was done in the following stages: stage 1—anterior rectus sheath and stage 2—external oblique muscles. From the 12 patients, three presented early complications: seroma (n = 2) and epitheliolysis (n = 1). There were no recurrences or other late complications (48 months follow-up period). The separation of the anterior rectus sheath, and incision in the lateral recess to undermine the oblique muscles, allowed the treatment of abdominal wall defects, without late complications. |
| format | Article |
| id | doaj-art-cf9361c2116d4cf2b04428bc2d6c0792 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2022-02-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-cf9361c2116d4cf2b04428bc2d6c07922025-08-20T02:04:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2022-02-01550109209610.1055/s-0041-1735419A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall DeformitiesMarcus Vinícius Jardini Barbosa0Fábio Xerfan Nahas1Lydia Masako Ferreira2Morphofunctional Laboratory of the Scholl of Medicine of the University of Franca, Franca, São Paulo, BrazilDepartment of Surgery, Division of Plastic Surgery of the Federal University of São Paulo, São Paulo, BrazilDepartment of Surgery, Division of Plastic Surgery of the Federal University of São Paulo, São Paulo, BrazilThe variation of the components' separation technique, which uses the anterior rectus sheath and the release of the oblique muscles, proved to be effective in tension reduction. This paper aimed to present the initial experience using a variation that preserves semilunaris through the incision of the lateral aspect of the rectus sheath. All of the 12 patients presented an abdominal wall defect that included incisional hernia, peritoneostomy, lateral implantation of the rectus muscle, and defect secondary to TRAM flap. The separation was done in the following stages: stage 1—anterior rectus sheath and stage 2—external oblique muscles. From the 12 patients, three presented early complications: seroma (n = 2) and epitheliolysis (n = 1). There were no recurrences or other late complications (48 months follow-up period). The separation of the anterior rectus sheath, and incision in the lateral recess to undermine the oblique muscles, allowed the treatment of abdominal wall defects, without late complications.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735419abdominal wallherniaplastic surgery |
| spellingShingle | Marcus Vinícius Jardini Barbosa Fábio Xerfan Nahas Lydia Masako Ferreira A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities Indian Journal of Plastic Surgery abdominal wall hernia plastic surgery |
| title | A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities |
| title_full | A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities |
| title_fullStr | A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities |
| title_full_unstemmed | A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities |
| title_short | A Variation of the Components' Separation Technique that Preserves the Semilunaris for Treatment of Abdominal Wall Deformities |
| title_sort | variation of the components separation technique that preserves the semilunaris for treatment of abdominal wall deformities |
| topic | abdominal wall hernia plastic surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735419 |
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