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Abdominal wall transplant: a surgical innovation.

Hernia and Internet

III° Training in Chirurgia Erniaria Avanzata con Tecnica "Kugel" Hernia Patch.

Hernia Repair 2005 National Congress of the American Hernia Society

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Abdominal wall transplant: a surgical innovation.

Levi D et coll. : “ Transplantation of the abdominal wall.? Lancet 2003; 361: 2173-76? jfm

Levi DM, Tzakis AG, Kato T, Madariaga J, Mittal NK, Nery J, Nishida S, Ruiz P.

Division of Transplantation, Department of Surgery, University of Miami/Jackson Memorial Medical Center, Miami, Florida 33101, USA. dlevi@med.miami.edu

BACKGROUND: Closure of the abdomen in patients undergoing intestinal transplantation can be extremely difficult, if not impossible. We describe our initial experience with abdominal wall allotransplantation to facilitate abdominal closure. METHODS: We undertook nine cadaveric abdominal wall composite allograft transplants in eight patients. The graft's blood supply was based on the inferior epigastric vessels left in continuity with the donor femoral and iliac vessels. Skin biopsies were undertaken randomly and when rejection was suspected. Vessel patency was monitored by doppler ultrasound. FINDINGS: Six patients have survived, five of whom have intact, viable abdominal wall grafts. Two patients have had a clinically mild episode of acute rejection of the skin of the abdominal wall that resolved with corticosteroid therapy. No clinically apparent graft-versus-host disease has been noted. INTERPRETATION: Transplantation of an abdominal wall composite allograft can facilitate reconstruction and closure of the abdominal compartment in intestinal transplant recipients with complex abdominal wall defects.

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There is in the numer 1 of? Hernia vol. 8 an article about Hernia and Internet.

Inguinal hernia on the Internet: A critical comparison of Germany and the U.K.
C. J. Krones , G. Böhm, K. M. Ruhl, M. Stumpf1, U. Klinge and V. Schumpelick

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You can post your impressions in? forum!

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Torino 1-2 Luglio 2004 - Ended
III° Training in Chirurgia Erniaria Avanzata con Tecnica "Kugel" Hernia Patch.
Ospedale Molinette Torino
III Course about? Kugel Hernia Patch Technique.
ECM 10 .

III Course about? Kugel Hernia Patch Technique has ended on 2 July 2004.
The four surgeons involved has been satrisfied by the organizative and tecnical aspect of the event.
Very interesting is the possibility to see and perform operations in surgery room.
We are thinking about two courses in the year.
Next course in November 2004.
More information next coming in this site and in the
Forum.

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San Diego, California - USA
?9 -12 Febbraio 2005
American Hernia Society

Hernia Repair 2005 National Congress of the American Hernia Society

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Last update: 18-08-04.

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