Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/245605 |
Resumo: | INTRODUCTION: The purpose of this manuscript is to report the management of a child born with giantomphalocele (GO) that developed a complex ventral hernia secondary to an unsuccessful attempt ofclosing the primary defect. PRESENTATION OF CASE: The patient underwent a one-step surgery to correct a ventral hernia associatedwith a largely prolapsed enteroatmospheric fistula (EAF) along with an ileostomy. It was managed bya pre-operative association of botulinum toxin agent (BTA) application with preoperative progressivepneumoperitoneum (PPP) and trans-operative negative pressure wound therapy (NPWT) dressing withstaged abdominal closure. The patient needed 4 reoperations due to enteric fistulas. Nine days after thefirst surgery, it was possible to completely close the abdominal wall without mesh substitution. No signsof hernia in 9 months of follow-up. DISCUSSION: This is the second report in the literature and it reinforces the safety and effectiveness ofthe BTA injection associated with PPP in children. CONCLUSION: The use of BTA in association with PPP should be encouraged and best investigated inpatients with GO. The fistulas were not attributed to the negative pressure. Maybe it is time to startdefining better criteria to categorize GO in order to choose the best management for each patient. |
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Rombaldi, Marcelo CostamilanBarreto, Caroline GargioniPeterson, Carlos Alberto HoffCavazzola, Leandro TottiIsolan, Paola Maria Brolin SantisFraga, José Carlos Soares de2022-07-28T04:45:26Z20212210-2612http://hdl.handle.net/10183/245605001146262INTRODUCTION: The purpose of this manuscript is to report the management of a child born with giantomphalocele (GO) that developed a complex ventral hernia secondary to an unsuccessful attempt ofclosing the primary defect. PRESENTATION OF CASE: The patient underwent a one-step surgery to correct a ventral hernia associatedwith a largely prolapsed enteroatmospheric fistula (EAF) along with an ileostomy. It was managed bya pre-operative association of botulinum toxin agent (BTA) application with preoperative progressivepneumoperitoneum (PPP) and trans-operative negative pressure wound therapy (NPWT) dressing withstaged abdominal closure. The patient needed 4 reoperations due to enteric fistulas. Nine days after thefirst surgery, it was possible to completely close the abdominal wall without mesh substitution. No signsof hernia in 9 months of follow-up. DISCUSSION: This is the second report in the literature and it reinforces the safety and effectiveness ofthe BTA injection associated with PPP in children. CONCLUSION: The use of BTA in association with PPP should be encouraged and best investigated inpatients with GO. The fistulas were not attributed to the negative pressure. Maybe it is time to startdefining better criteria to categorize GO in order to choose the best management for each patient.application/pdfengInternational journal of surgery case reports. [Amsterdam]. Vol. 81 (Apr. 2021), 105828, 5 p.Hernia umbilicalToxinas botulínicasHérniaFístulaTratamento de ferimentos com pressão negativaRelatos de casosGiant omphaloceleBotulinum toxinComplex herniaEnteric fistulaNegative pressure wound therapyCase reportComplex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical techniqueEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001146262.pdf.txt001146262.pdf.txtExtracted Texttext/plain22415http://www.lume.ufrgs.br/bitstream/10183/245605/2/001146262.pdf.txtade8d595cfa6fdd64ca8d5c1538bdcf6MD52ORIGINAL001146262.pdfTexto completo (inglês)application/pdf1593821http://www.lume.ufrgs.br/bitstream/10183/245605/1/001146262.pdfeb8431ac9583d9daa24f4a1965f67d19MD5110183/2456052022-07-29 04:50:54.964294oai:www.lume.ufrgs.br:10183/245605Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2022-07-29T07:50:54Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
title |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
spellingShingle |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique Rombaldi, Marcelo Costamilan Hernia umbilical Toxinas botulínicas Hérnia Fístula Tratamento de ferimentos com pressão negativa Relatos de casos Giant omphalocele Botulinum toxin Complex hernia Enteric fistula Negative pressure wound therapy Case report |
title_short |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
title_full |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
title_fullStr |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
title_full_unstemmed |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
title_sort |
Complex ventral hernia repair in a child : an association of botulinumtoxin, progressive pneumoperitoneum and negative pressure therapy : a case report on an arising surgical technique |
author |
Rombaldi, Marcelo Costamilan |
author_facet |
Rombaldi, Marcelo Costamilan Barreto, Caroline Gargioni Peterson, Carlos Alberto Hoff Cavazzola, Leandro Totti Isolan, Paola Maria Brolin Santis Fraga, José Carlos Soares de |
author_role |
author |
author2 |
Barreto, Caroline Gargioni Peterson, Carlos Alberto Hoff Cavazzola, Leandro Totti Isolan, Paola Maria Brolin Santis Fraga, José Carlos Soares de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Rombaldi, Marcelo Costamilan Barreto, Caroline Gargioni Peterson, Carlos Alberto Hoff Cavazzola, Leandro Totti Isolan, Paola Maria Brolin Santis Fraga, José Carlos Soares de |
dc.subject.por.fl_str_mv |
Hernia umbilical Toxinas botulínicas Hérnia Fístula Tratamento de ferimentos com pressão negativa Relatos de casos |
topic |
Hernia umbilical Toxinas botulínicas Hérnia Fístula Tratamento de ferimentos com pressão negativa Relatos de casos Giant omphalocele Botulinum toxin Complex hernia Enteric fistula Negative pressure wound therapy Case report |
dc.subject.eng.fl_str_mv |
Giant omphalocele Botulinum toxin Complex hernia Enteric fistula Negative pressure wound therapy Case report |
description |
INTRODUCTION: The purpose of this manuscript is to report the management of a child born with giantomphalocele (GO) that developed a complex ventral hernia secondary to an unsuccessful attempt ofclosing the primary defect. PRESENTATION OF CASE: The patient underwent a one-step surgery to correct a ventral hernia associatedwith a largely prolapsed enteroatmospheric fistula (EAF) along with an ileostomy. It was managed bya pre-operative association of botulinum toxin agent (BTA) application with preoperative progressivepneumoperitoneum (PPP) and trans-operative negative pressure wound therapy (NPWT) dressing withstaged abdominal closure. The patient needed 4 reoperations due to enteric fistulas. Nine days after thefirst surgery, it was possible to completely close the abdominal wall without mesh substitution. No signsof hernia in 9 months of follow-up. DISCUSSION: This is the second report in the literature and it reinforces the safety and effectiveness ofthe BTA injection associated with PPP in children. CONCLUSION: The use of BTA in association with PPP should be encouraged and best investigated inpatients with GO. The fistulas were not attributed to the negative pressure. Maybe it is time to startdefining better criteria to categorize GO in order to choose the best management for each patient. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
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2022-07-28T04:45:26Z |
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http://hdl.handle.net/10183/245605 |
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001146262 |
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dc.relation.ispartof.pt_BR.fl_str_mv |
International journal of surgery case reports. [Amsterdam]. Vol. 81 (Apr. 2021), 105828, 5 p. |
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