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PLASTIC OF THE ABDOMINAL WALL WITH? INTRAPERITONEAL mesh COMPOSIX? |
The mesh Composix? is a special mesh in two layers, one in PTFE and one in polipropilene, united by suture.
So we can put the mesh intraperitoneal with the layer in PTFE to contact with the bowel and the layer in polipropilene to contact with the abdominal wall.
The muscular fascia can be fixed to this last layer for a greater one held.
With this prosthesis is possible to rebuild abdomial breaches? in which the loss of substance is such from not to agree a sutures of the? margins.
Even if part of the layer in polipropilene stays to contact with subcutaneous, does not seem to increase the rate of complications, always if it? is ensured an excellent drainage.
We see a case of umbilical ernia permagna with cutaneous ulcerations.
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The TC shows the lack of wall and the engagement of the intestinal anses.
Excission of the previous scar.
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Hernia's sac content.
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Breach of wall not suturabile if do not with large tension. The peritoneous appears insufficient
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Cut ?of the prosthesis
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First point of fixing, givened to U.
Outside
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Taken some mesh
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Return from inside.
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The mesh fixed in six points marked from the arrows.
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We begins before four continuous suture that fix the mesh to the fascia of the anterior recti muscles
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The sutures are completed.
We suture therefore the cute. We put three drainages in aspiration in the subcutaneous space.
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