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[PMID]:29489700
[Au] Autor:Chen Q; Liu Q; Suo Y; Xie Q
[Ad] Endereço:Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China.
[Ti] Título:A new surgical treatment for abdominal wall defects: A vascularized ribs-pleural transfer technique that can be used with or without a thoracic umbilical flap a case report.
[So] Source:Medicine (Baltimore);97(9):e9993, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Abdominal wall defects are common after tumor resection. PATIENT CONCERNS: We report an 83-year-old male patient with recurrent tumors in his abdomen, and who had an incision wound that could not be directly closed. Mesh was not suitable because the wound was infected. DIAGNOSES: Abdominal wall defect result from the resection of recurrent tumor. INTERVENTIONS: We carried out a vascularized ribs-pleural transfer operation. OUTCOMES: After the surgery, the patient gained a functional recovery. No evidence of recurrence was noted 1 year after operation, and the patient showed no symptoms of abdominal compression syndrome. LESSONS: We discuss the clinical diagnosis, treatment, and follow up and argue that the vascularized ribs-pleural transfer technique is a good method to deal with abdominal wall defects.
[Mh] Termos MeSH primário: Parede Abdominal/cirurgia
Pleura/transplante
Complicações Pós-Operatórias/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Costelas/transplante
[Mh] Termos MeSH secundário: Neoplasias Abdominais/cirurgia
Idoso de 80 Anos ou mais
Seres Humanos
Masculino
Recidiva Local de Neoplasia/cirurgia
Retalhos Cirúrgicos
Umbigo/transplante
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009993


  2 / 4188 MEDLINE  
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[PMID]:28456757
[Au] Autor:Fadel MG; Chatzikonstantinou M; Gilchrist C; Andrews B
[Ti] Título:Panniculus morbidus: obesity-related abdominal wall lymphoedema.
[So] Source:BMJ Case Rep;2017, 2017 Apr 29.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 52-year-old female patient presented with a massive abdominal wall swelling that adversely affected her lifestyle. Imaging revealed significant subcutaneous oedema and the presence of grossly distended veins. Subsequently, she underwent a 'toilet' panniculectomy and abdominoplasty. We describe the surgical technique used to retract the lymphoedematous tissue facilitating excisional surgery, and discuss the pathophysiology of this condition and the possible contribution of venous obstruction to the development of subcutaneous oedema.
[Mh] Termos MeSH primário: Parede Abdominal/patologia
Linfedema/complicações
Obesidade Mórbida/complicações
Obesidade Mórbida/diagnóstico
Tela Subcutânea/irrigação sanguínea
[Mh] Termos MeSH secundário: Parede Abdominal/cirurgia
Abdominoplastia/métodos
Feminino
Seres Humanos
Linfedema/cirurgia
Meia-Idade
Obesidade Mórbida/etiologia
Obesidade Mórbida/patologia
Tela Subcutânea/patologia
Tela Subcutânea/fisiopatologia
Resultado do Tratamento
Reino Unido/epidemiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


  3 / 4188 MEDLINE  
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[PMID]:29240749
[Au] Autor:Bendavid R
[Ad] Endereço:Surgery, Shouldice Hospital, Thornhill, Canada.
[Ti] Título:Mesh abdominal wall hernia surgery is safe and effective-the harm New Zealand media has done: response to Dr Steven Kelly's article.
[So] Source:N Z Med J;130(1467):97-98, 2017 12 15.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Mh] Termos MeSH primário: Parede Abdominal/cirurgia
Hérnia Ventral/cirurgia
[Mh] Termos MeSH secundário: Hérnia Abdominal/cirurgia
Herniorrafia
Seres Humanos
Meios de Comunicação de Massa
Nova Zelândia
Telas Cirúrgicas
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


  4 / 4188 MEDLINE  
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[PMID]:29280880
[Au] Autor:Purnell CA; Turin SY; Dumanian GA
[Ad] Endereço:Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.
[Ti] Título:Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.
[So] Source:Plast Reconstr Surg;141(1):186-189, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e.g., an abdominoplasty). The reconstruction has been performed in over 50 patients with a vertical midline incision and five patients without a midline incision. The only complications noted were persistent serous drainage in several patients with vertical incision and inadequate depth in one patient without a midline incision. This technique is quickly performed, and avoids small flaps, external incisions, and healing by secondary intention.
[Mh] Termos MeSH primário: Abdominoplastia/métodos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/transplante
Umbigo/cirurgia
[Mh] Termos MeSH secundário: Parede Abdominal/fisiopatologia
Parede Abdominal/cirurgia
Estética
Feminino
Seres Humanos
Masculino
Retalhos Cirúrgicos/irrigação sanguínea
Técnicas de Sutura
Cicatrização/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003929


  5 / 4188 MEDLINE  
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[PMID]:29310403
[Au] Autor:Yorita K; Tanaka Y; Hirano K; Kuwahara M; Nakatani K; Fukunaga M; Agaimy A
[Ad] Endereço:Department of Diagnostic Pathology.
[Ti] Título:Multilocular cystic leiomyoma of the anterolateral abdominal wall: A case report and literature review.
[So] Source:Medicine (Baltimore);96(48):e8971, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Leiomyomas arising from the anterolateral abdominal wall are uncommon, and their pathogenesis remains unknown. We present the 15th case of such a tumor, having this unique tumor morphology, followed by a detailed discussion on disease pathogenesis. PATIENT CONCERNS: A 48-year-old, asymptomatic perimenopausal, multiparous Japanese woman presented with a left-sided pelvic mass. She had no history of previous surgeries or uterine leiomyomas. Although a transabdominal ultrasonogram raised suspicions of an ovarian tumor, a transvaginal ultrasonogram confirmed normal ovaries. Radiological images showed a multilocular cystic mass with enhanced solid lesions connected to the uterus. Retrospective radiological evaluation showed that the mass was largely connected to the peritoneum of the anterolateral abdominal wall. INTERVENTIONS: Intraoperatively, the mass appeared as a dome-like protrusion from the left lower quadrant of the abdominal wall, without connection to the uterus, ovaries, or the left round ligament. No other peritoneal masses were seen. The mass was easily enucleated from the abdominal wall. Pathology confirmed that the mass was a leiomyoma with hydropic and myxoid degeneration. No striated muscle tissues were noted between the tumor and resection margin, but a thin smooth muscle layer, positive for hormone receptors, was present at the periphery, suggesting the origin of the tumor. LESSONS: Benign leiomyomas of the anterolateral abdominal wall likely originate from Müllerian-like smooth muscle remnants in this region. They should be considered in the differential diagnosis of solid and cystic masses and be distinguished from uterine and ovarian masses on imaging to avoid unnecessary organ resection.
[Mh] Termos MeSH primário: Neoplasias Abdominais/diagnóstico por imagem
Neoplasias Abdominais/cirurgia
Leiomioma/diagnóstico por imagem
Leiomioma/cirurgia
[Mh] Termos MeSH secundário: Neoplasias Abdominais/patologia
Parede Abdominal
Diagnóstico Diferencial
Feminino
Seres Humanos
Leiomioma/patologia
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008971


  6 / 4188 MEDLINE  
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[PMID]:29280882
[Au] Autor:Patel NG; Ratanshi I; Buchel EW
[Ad] Endereço:Leicester, United Kingdom; and Winnipeg, Manitoba, Canada From the Department of Plastic Surgery, Leicester Royal Infirmary, University Hospitals of Leicester; and the Department of Surgery, Section of Plastic Surgery, Health Sciences Center, University of Manitoba.
[Ti] Título:The Best of Abdominal Wall Reconstruction.
[So] Source:Plast Reconstr Surg;141(1):113e-136e, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:LEARNING OBJECTIVES: After reviewing this article, the participant should be able to: 1. List major risk factors for hernia formation and for failure of primary repair. 2. Outline an algorithmic approach to anterior abdominal wall reconstruction based on the degree of contamination, components involved in the deficit, and width of the hernia defect. 3. Describe appropriate indications for synthetic and biological mesh products. 4. List common flaps used in anterior abdominal wall reconstruction, including functional restoration strategies. 5. Describe the current state of the art of vascularized composite tissue allotransplantation strategies for abdominal wall reconstruction. SUMMARY: Plastic surgeons have an increasingly important role in abdominal wall reconstruction-from recalcitrant, large incisional hernias to complete loss of abdominal wall domain. A review of current algorithms is warranted to match evolving surgical techniques and a growing number of available implant materials. The purpose of this article is to provide an updated review of treatment strategies to provide an approach to the full spectrum of abdominal wall deficits encountered in the modern plastic surgery practice.
[Mh] Termos MeSH primário: Parede Abdominal/cirurgia
Hérnia Ventral/cirurgia
Herniorrafia/métodos
[Mh] Termos MeSH secundário: Parede Abdominal/anatomia & histologia
Técnicas de Fechamento de Ferimentos Abdominais
Cirurgia Bariátrica
Aloenxertos Compostos
Hérnia Ventral/diagnóstico
Seres Humanos
Reoperação
Transplante de Pele
Retalhos Cirúrgicos
Telas Cirúrgicas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003976


  7 / 4188 MEDLINE  
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[PMID]:29280863
[Au] Autor:Acevedo E; Nadhan KS; Everett M; Moya A; Bradley JP
[Ad] Endereço:Philadelphia and Danville, Pa. From the Division of Plastic and Reconstructive Surgery, Temple University; and the Division of Plastic and Reconstructive Surgery, Geisinger Medical Center.
[Ti] Título:Corset Trunkplasty: Recommended with Abdominal Skin Laxity and Open Cholecystectomy Scar.
[So] Source:Plast Reconstr Surg;141(1):60-69, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients undergoing abdominoplasty with previous upper abdominal wall scars are at an increased risk for postoperative complications. The corset trunkplasty is a newer technique to treat abdominal wall laxity of the entire anterolateral abdomen while incorporating any previous open cholecystectomy scar. The authors performed a comparative outcomes study to determine whether the corset procedure would decrease the incidence of postoperative complications in patients with abdominal wall laxity and an open cholecystectomy scar when compared with traditional abdominoplasty. METHODS: A retrospective study was performed on patients who underwent traditional and corset abdominoplasty. Patients were divided into four groups: traditional with scar, corset with scar, traditional no scar, and corset no scar. Evaluated metrics included procedure time, postoperative length of stay, complications, reoperations, and readmission rates. RESULTS: Fifty-eight subjects were included in the study (traditional with scar, n = 15; corset with scar, n = 13; traditional no scar, n = 15; and corset no scar, n = 15). Demographics were similar among groups: body mass index, 33.7 kg/m; age, 44.3 years; and American Society of Anesthesiologists status, 2.5. The corset procedure took longer than the traditional method, regardless of whether a scar was present (146.1 minutes versus 125.7 minutes). However, the traditional with scar group had the greatest length of stay and higher complication, readmission, and reoperation rates. The corset with scar group had comparable outcomes to the corset no scar and traditional no scar groups. CONCLUSIONS: The corset trunkplasty procedure resulted in fewer adverse outcomes compared with traditional abdominoplasty in patients with previous open cholecystectomy scar. Its use should be considered in patients with significant abdominal wall laxity and existing upper abdominal surgical scars. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
[Mh] Termos MeSH primário: Parede Abdominal/patologia
Abdominoplastia/métodos
Colecistectomia
Cicatriz/etiologia
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Parede Abdominal/cirurgia
Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Cicatriz/patologia
Feminino
Seguimentos
Seres Humanos
Incidência
Tempo de Internação/estatística & dados numéricos
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Readmissão do Paciente/estatística & dados numéricos
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/patologia
Complicações Pós-Operatórias/prevenção & controle
Reoperação/estatística & dados numéricos
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003988


  8 / 4188 MEDLINE  
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[PMID]:29199268
[Au] Autor:Di Lorenzo S; Zabbia G; Corradino B; Tripoli M; Pirrello R; Cordova A
[Ad] Endereço:Department of Surgical, Oncological and Dental Disciplinary, Plastic Surgery Section, University of Palermo, Palermo, Italy.
[Ti] Título:A Rare Case of Giant Basal Cell Carcinoma of the Abdominal Wall: Excision and Immediate Reconstruction with a Pedicled Deep Inferior Epigastric Artery Perforator (DIEP) Flap.
[So] Source:Am J Case Rep;18:1284-1288, 2017 Dec 04.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND Basal cell carcinoma (BCC) greater than 5 cm in diameter is called giant basal cell carcinoma (GBCC), or super giant basal cell carcinoma if it has a diameter larger than 20 cm. Giant BCC only accounts for 0.5% of BCCs and super giant BCC is exceedingly rare. On account of their rarity, there are no established guidelines for GBCC treatment. CASE REPORT We describe a peculiar case of an 82-year-old woman with a GBCC carcinoma of the lower abdominal wall. The tumor was surgically removed with ipsilateral inguinal lymph nodes and the abdominal wall was reconstructed immediately with a pedicled deep inferior epigastric artery perforator (DIEP) flap. CONCLUSIONS Treatment of giant basal cell carcinoma is often difficult, especially in elderly patients with poor general health and multiple pathologies. The pedicled DIEP flap is rotated to cover the loss of substance without tension, and it is easy to harvest and transfer. This flap allowed a good result without local or systemic complication. We present this report as a reminder of the occasional occurrence of extremely aggressive BCCs. We believe that, especially for rare tumors like these, it is very useful for the entire scientific community to publish these cases and the therapeutic strategies used to treat them.
[Mh] Termos MeSH primário: Parede Abdominal/patologia
Carcinoma Basocelular/patologia
Retalho Perfurante
Neoplasias Cutâneas/patologia
[Mh] Termos MeSH secundário: Parede Abdominal/cirurgia
Idoso de 80 Anos ou mais
Carcinoma Basocelular/cirurgia
Feminino
Seres Humanos
Invasividade Neoplásica
Retalho Perfurante/irrigação sanguínea
Doenças Raras
Neoplasias Cutâneas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE


  9 / 4188 MEDLINE  
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[PMID]:29280864
[Au] Autor:Shermak MA
[Ad] Endereço:Lutherville and Baltimore, Md. From private practice; the Plastic Surgery Center of Maryland; and The Johns Hopkins Department of Plastic Surgery.
[Ti] Título:Discussion: Corset Trunkplasty: Recommended with Abdominal Skin Laxity and Open Cholecystectomy Scar.
[So] Source:Plast Reconstr Surg;141(1):70-73, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Colecistectomia
Cicatriz
[Mh] Termos MeSH secundário: Parede Abdominal
Colecistectomia Laparoscópica
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003980


  10 / 4188 MEDLINE  
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[PMID]:29245346
[Au] Autor:Cheng H; Gao C; Zhang R; Yang Z; Zhang G
[Ad] Endereço:aDepartment of Obstetrics and Gynecology, Qilu HospitalbQilu Medical School, Shandong UniversitycDepartment of Medicine, University of Ji'nandDepartment of Radiology, Qilu Hospital, Shandong University, Ji'nan, Shandong, PR China.
[Ti] Título:Two independent incidences of skin metastases in the umbilicus and abdominal wall in ovarian serous adenocarcinoma: A case report and review of the literature.
[So] Source:Medicine (Baltimore);96(49):e9118, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Advanced ovarian cancer is usually associated with intra-abdominal metastases and while it commonly spreads directly to the omentum, intestine, liver, or other organs, it can also metastasize through the lymphatic channels and the hematogenous pathway. With an increasing number of invasive operations being performed with chemoradiotherapy, the incidence of extra-abdominal metastases has risen. Nevertheless, ovarian cancer with skin metastases is quite rare. PATIENT CONCERNS: We report a case of ovarian cancer with two independent incidences of skin metastases in the umbilicus and abdominal wall. DIAGNOSES: The patient was a 67-year-old woman who was diagnosed with ovarian cancer stage IIIC and underwent cytoreductive surgery. A solitary brown cauliflower-like metastatic lesion, approximately 6 × 5 × 4 cm was identified in the umbilicus area two years after primary surgery. During tumorectomy, intraoperative exploration revealed that while the tumor was located close to the peritoneum, there was no penetration. INTERVENTIONS: The patient recovered well and received multiple rounds of chemotherapy. Ten months later, the patient presented with skin lesions located on the abdominal wall that grew rapidly and spread from the lower abdomen wall to the bilateral waist and femoral skin. These lesions were multiple, ulcerated, rough heliotrope plaques that produced a foul-smelling faint yellow liquid. Biopsy analysis revealed skin metastasis of poorly differentiated serous adenocarcinoma. OUTCOMES: The patient was treated with chemotherapy but died 3 months after the skin metastasis occurred for the second time. LESSONS: Ovarian cancer with skin metastasis is a rare condition with poor prognosis. Pathological diagnosis of early skin lesions is essential for ovarian cancer patients and that systemic and local disease should be treated with surgery or palliative therapy in order to provide patients with the best chances of survival. Tumorectomy is appropriate when lesions are isolated and when the patient's performance status is good. However, systemic therapy including chemotherapy and radiotherapy should be considered when skin lesions are associated with severe intro-abdominal disease.
[Mh] Termos MeSH primário: Parede Abdominal/patologia
Adenocarcinoma/patologia
Neoplasias Ovarianas/patologia
Neoplasias Cutâneas/secundário
Umbigo/patologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009118



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