[General principles of abdominal wall reconstruction--20 years of experience].
After 20 years of reconstructive abdominal wall surgery and almost five thousand surgical interventions for this pathology, most of them resolved with prosthesis, authors present a retrospective study concerning to increased biocompatibility, world dynamics of alloplastic solution and also the technical surgical problems that appears in incisional hernia repair. There are underlined two concepts: first--the maximal transversal diameter--that define the size of musculo-aponeurosis defect and the span of alloplastic substitution, in opposition to the old idea that allude to the size of hernia sack; the second concept--receptor prosthetic layer--define the interface between abdominal viscera and prosthetic material. This is not just a mechanical divider, being also a conjunctive and vascular support, helping prosthetic tissue integration.
Ciurea
M
M
Clinica chirurgie III, Spitalul Universitar de Urgenţă, Bucureşti.
Ion
D
D
Pariza
G
G
Mavrodin
Carmen Iuliana
CI
D034861:Abdominal Wall / Q000601:surgery*; D046449:Hernia, Abdominal / Q000601:surgery*; D006555:Hernia, Ventral / Q000601:surgery; D006801:Humans; D011126:Polypropylenes; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome
D011126:Polypropylenes