title: [Laparocele: a review of the literature and analysis of case histories].
abstract: We analyze a group of 64 laparoceles from which it emerges a per cent distribution in the different regions and a correlation between the dimensions of the lesion and the relative regions in agreement with the data usually given in the literature. Furthermore we point out a clear dependence on pathogenetic factors of general and local order. Is therefore recognized the necessity of preventing their insurgence and reducing the risk of relapses through appropriate laparotomy incisions, with adoption of a suitable surgical technique and the correction of systemic diseases. The voluminous laparoceles are responsible of cardiac, respiratory, coagulative diseases, that must be scrupulously judged for an appropriate therapeutical approach. The surgical treatment, as well as for the cases of bigger dimensions, has mostly availed itself of an elementary technique (simple approach, apposition "en paletot" splitting of the fasciae). In the necessity of strengthening weak parietal tissues or of replacing vast losses of matter, we have limitedly resorted to autologous grafts, while good results have been observed with the lyophilized dura mater.
authors.affiliation: Divisione Chirurgica B, Ospedale Maggiore di San Giovanni Battista e della Città di Torino.
authors.forename: B
authors.initials: B
authors.lastname: Lasagna
authors.forename: A
authors.initials: A
authors.lastname: Resegotti
authors.forename: M
authors.initials: M
authors.lastname: Garino
authors.forename: G
authors.initials: G
authors.lastname: Balbo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology
vernacular_title: Il laparocele: revisione della letteratura e analisi di una casistica.