Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique

We present a small series of patients who underwent concomitant treatment of external digestive bypass (stoma) and incisional hernia, using the Lázaro da Silva technique - a special method of purely tissue repair. The rational was not to use meshes on contaminated wounds. Initially, five patients we...

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Autores principales:	Renato Melo, Pedro Oliveira-e-Silva, Enio Chaves Oliveira
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2021
Materias:	intestinal fistula incisional hernia surgical mesh Medicine R
Acceso en línea:	https://doaj.org/article/6e50fa52634c4619ad848bb23656ee2c
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spelling	oai:doaj.org-article:6e50fa52634c4619ad848bb23656ee2c2021-11-14T06:50:29ZConcomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique2783-243010.30476/acrr.2021.90252.1086https://doaj.org/article/6e50fa52634c4619ad848bb23656ee2c2021-03-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47427_f46f0d8484bde5fdea06162cd488c978.pdfhttps://doaj.org/toc/2783-2430We present a small series of patients who underwent concomitant treatment of external digestive bypass (stoma) and incisional hernia, using the Lázaro da Silva technique - a special method of purely tissue repair. The rational was not to use meshes on contaminated wounds. Initially, five patients were enrolled and all were operated on by the same group. Some demographic data were recorded, but also the time interval between the making of the stoma (or the appearance of the enterocutaneous fistula). Some characteristics of the hernia and data related to surgical procedures were also pointed out. The primary outcome was to verify the rate of hernial recurrence, but also the surgical site occurrences in the first 30 days. Only one patient had superficial wound infection and in none of them was a recurrence detected. Our work raises some questions about the best approach in these more complex cases, such as dissociating or not dissociating the procedures, the use of meshes anyway, and employment of mini-invasive surgery in some steps.Renato MeloPedro Oliveira-e-SilvaEnio Chaves OliveiraShiraz University of Medical Sciencesarticleintestinal fistulaincisional herniasurgical meshMedicineRENIranian Journal of Colorectal Research, Vol 9, Iss 1, Pp 18-23 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intestinal fistula incisional hernia surgical mesh Medicine R
spellingShingle	intestinal fistula incisional hernia surgical mesh Medicine R Renato Melo Pedro Oliveira-e-Silva Enio Chaves Oliveira Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
description	We present a small series of patients who underwent concomitant treatment of external digestive bypass (stoma) and incisional hernia, using the Lázaro da Silva technique - a special method of purely tissue repair. The rational was not to use meshes on contaminated wounds. Initially, five patients were enrolled and all were operated on by the same group. Some demographic data were recorded, but also the time interval between the making of the stoma (or the appearance of the enterocutaneous fistula). Some characteristics of the hernia and data related to surgical procedures were also pointed out. The primary outcome was to verify the rate of hernial recurrence, but also the surgical site occurrences in the first 30 days. Only one patient had superficial wound infection and in none of them was a recurrence detected. Our work raises some questions about the best approach in these more complex cases, such as dissociating or not dissociating the procedures, the use of meshes anyway, and employment of mini-invasive surgery in some steps.
format	article
author	Renato Melo Pedro Oliveira-e-Silva Enio Chaves Oliveira
author_facet	Renato Melo Pedro Oliveira-e-Silva Enio Chaves Oliveira
author_sort	Renato Melo
title	Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
title_short	Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
title_full	Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
title_fullStr	Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
title_full_unstemmed	Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique
title_sort	concomitant enterostomy closure and ventral abdominal wall reconstruction using the lázaro da silva technique
publisher	Shiraz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/6e50fa52634c4619ad848bb23656ee2c
work_keys_str_mv	AT renatomelo concomitantenterostomyclosureandventralabdominalwallreconstructionusingthelazarodasilvatechnique AT pedrooliveiraesilva concomitantenterostomyclosureandventralabdominalwallreconstructionusingthelazarodasilvatechnique AT eniochavesoliveira concomitantenterostomyclosureandventralabdominalwallreconstructionusingthelazarodasilvatechnique
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Concomitant enterostomy closure and ventral abdominal wall reconstruction using the Lázaro da Silva technique

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