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Research ArticleOpen Access

New Surgical Strategy for Abdominal Wall Defects. A Successful Swine Model Experiment

Volume 1 - Issue 7

Florina Popa*

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    • Department of General Surgery, University of Medicine and Pharmacy “Iuliu Hatieganu”, Cluj-Napoca, Romania

    *Corresponding author: Florina POPA, Department of General Surgery, University of Medicine and Pharmacy “Iuliu Hatieganu”Cluj-Napoca, Romania

Received: November 30, 2017;   Published: December 06, 2017

DOI: 10.26717/BJSTR.2017.01.000570

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Background: The purpose of this study was to develop a large incisional hernia pattern made on an animal that is clinically relevant, to design a new original surgical technique to repair abdominal wall defect, and to evaluate its effectiveness, aiming to apply it on patients.

Methods: Physical examination and ultrasound scan was performed at fixed intervals at 3, 7, 14 and 30 days. Postoperative complications were followed. To evaluate the resistance of the repair, the swine model went through gestation and given birth process.

Results: There are the following situations: wound infection, enteric fistula, stoma, or retraction of the abdominal wall, when direct synthetic mesh repair is inadequate. Biological meshes may be placed to achieve abdominal wall reconstruction, but they are associated with a high recurrence risk. The good result is based on the flap properties of biocompatibility and incorporation into the surrounding tissue. If some surgeons questioned the flap repair, which would not provide the required resistance, the reinforcement with the mesh would ensure it. The advantage of using the flap directly into the defect reduces the risk of infection. Mechanical test of abdominal rectus muscle across the repair site was performed and no test is better than the gestation and given birth process.

Conclusion: The technique accomplishes the reconstruction of a functional dynamic abdominal wall via the antilogous vascularized tissue flap and the mesh insertion, which will reinforce the repair. We recommend it due to the fast tissue regeneration and resistance to pressure forces on different physiological acts.

Keywords: Flap; Reconstruction; Abdominal Defect

Abstract| Introduction| Methods| Results| Discussion| Conclusion| References|