Zusammenfassung
Das Management einer gigantischen Rezidivnarbenhernie bei einem 68-jährigem Patienten wird präsentiert und diskutiert. Zum Einsatz kommen hierbei eine modifizierte Komponentenseparation nach Ramirez sowie Deckung des entstandenen Hautdefektes durch Hautverschiebeplastik. Der Fasziendefekt betrug mehr als 20 cm
Abstract
The management of a recurrent gigantic incisional hernia in a 68-year-old patient including modified component separation technique according to Ramirez and a skin sliding flap is presented and discussed. The fascial defect was larger than 20 cm.
Literatur
Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV, Turnage RH (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–101
Di Bello JN, Moore JH (1996) Sliding myofascial flap of the rectus abdominis muscles for closure of recurrent ventral hernias. Plast Reconstr Surg 98:464–469
Farthmann EH, Mappes HJ (1997) Der spannungsfreie Verschluss der Narbenhernie. Chirurg 68:310–316
Gecim IE, Kocak S, Ersoz S, Bumin C, Aribal D (1996) Recurrence after incisional hernia repair: results and risk factors. Surg Today 26:607–609
Girotto JA, Ko MJ, Redett R (1999) Closure of chronic abdominal wall defects: a long term evaluation of the components separation method. Ann Plast Surg 42:385–395
Hoer J, Lawong G, Klinge U, Schumpelick V (2002) Einflussfaktoren der Narbenhernienentstehung. Chirurg 73:474–480
Ramirez OM, Ruas E, Dellon AL (1990) Components separation method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg 86:519–526
Rios A, Rodriguez JM, Munitiz V, Alcaraz P, Perez D, Parrilla P (2001) Factors that affect recurrence after incisional herniorrhaphy with prosthetic material. Eur J Surg 167:855–859
Schachtrupp A, Fackeldey V, Klinge U, Hoer J, Tittel A, Tiens C, Schumpelick V (2002) Temporary closure of the abdominal wall (laparostomy). Hernia 6:155–162
Schumpelick V, Junge K, Rosch R, Klinge U, Stumpf M (2002) Retromuscular mesh repair for ventral incision hernia in Germany. Chirurg 73:888–894
Shestak KC, Edington HJ, Johnson RR (2000) The separation of anatomic components technique for midline abdominal wall defects: anatomy, surgical technique, applications and limitations revisited. Plast Reconstr Surg 105:731–739
Stelzner F (1991) Das Faszienskelett der Bauchhöhle—Hernien und anorektale Inkontinenz. Langenbecks Arch Chir 376:108–112
Voigt M, Andee C, Galla TJ, Walgenbach KJ, Stark GB (2001) Rekonstruktion von Mittellinendefekten. Zentralbl Chir 126:1000–1004
Vries Reilingh de TS, Goor van H, Rosman C et al. (2003) Components separation technique for the repair of large abdominal wall hernias. J Am Coll Surg 196:32–37
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Kisielinski, K., Bertram, P., Conze, J. et al. Management einer gigantischen Rezidivnarbenhernie. Chirurg 75, 529–532 (2004). https://doi.org/10.1007/s00104-003-0808-2
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DOI: https://doi.org/10.1007/s00104-003-0808-2