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ISSN 1405-0625 (Print)

2025, Number 1

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Cir Plast 2025; 35 (1)

Abdominal wall reconstruction in incisional hernias: synergy, convergence, and excellence of two surgical disciplines

Reyes-Montero CF, Luna-Madrid EE, Favela-Campos RM, Olivas-Borunda MR, Ballardo-Medina C, Figueroa-Beltrán MV, Gutiérrez-Ramírez M, Almeida-Muñoz DE, Vázquez-Ruiz BA, Camacho MJ

Language: Spanish
References: 16
Page: 18-24
PDF size: 388.11 Kb.


ABSTRACT

The treatment of complex hernias demands a meticulous procedure. As plastic surgeons we must integrate into multidisciplinary teams that handle these conditions. We performed a prospective, longitudinal, and descriptive study of patients with complex incisional hernias managed in a multidisciplinary manner. All patients adhered to the following protocol: infiltration of 100 units of botulinum toxin type A and administration of progressive pneumoperitoneum. All patients had excellent outcomes, with minimal easily managed complications. The maximum hospital discharge time was seven days, even in "giant" defects, averaging 24.8 × 19 cm. In our practice, repairing complex hernias, loss of domain hernias predominates. These deforming and disabling conditions compel us to offer effective therapeutic solutions that facilitate tissue management and restore abdominal wall function. We conclude that abdominal wall reconstruction for complex hernias is a major surgical challenge in modern surgery, which must be addressed by a team, converging surgical expertise from various specialties.


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