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  • 1
    Electronic Resource
    Electronic Resource
    Classification of incisional hernias of the abdominal wall (2000)
    Springer
    Hernia 4 (2000), S. 94-94 
    Details
    ISSN: 1248-9204
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02353754
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Cirugía de la pared abdominal (1997)
    Springer
    Hernia 1 (1997), S. 96-96 
    Details
    ISSN: 1248-9204
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02427671
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The sheath of the rectus abdominis muscle: an anatomical and biomechanical study (1997)
    Springer
    Hernia 1 (1997), S. 139-142 
    Details
    ISSN: 1248-9204
    Keywords: Rectus sheath ; Biomechanics ; Mechanical properties
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The anterior layer of the sheath of the rectus muscles is often used in the repair of incisional hernias through the linea alba. This practice has led us to undertake an anatomical and biomechanical study of its structure. Thirty fresh cadavers were divided into three groups of ten. All were dissected and biomechanical tests were carried out on the latter two groups: in Group 2 a dynamometer was used to measure the resistance to linear traction and to deformation. In Group 3 a bursting strength tester was used in order to determine the resistance to pressure. Morphological studies included measurements of the mean dimensions of the sheath, and of its composition at different levels. The biomechanical results show that the anterior sheath is more resistan to traction below the arcuate line than above it, whereas the resistance to pressure shows an opposite pattern. The resistance to traction of the posterior sheath is similar in its aponeurotic portion both above and below the umbilicus, the resistance to pressure being slightly less in the region of the arcuate line. The figures for deformation are essentially the same at all levels. The implications of these results for the repair of abdominal wall defects are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02426420
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Total reconstruction of the femoral canal and the inguinal wall after resection of a recurrent desmoid tumor (1999)
    Springer
    Hernia 3 (1999), S. 153-158 
    Details
    ISSN: 1248-9204
    Keywords: Desmoid tumor ; Inguinal region ; Abdominal wall
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors report a clinical case of desmoid tumor of the left inguinal region whose excision necessitated removal of the anterior wall of the inguinal region and of the entire walls of the femoral canal. The reconstruction of these different walls was made by means of two prostheses: one to reconstitute the sheath of the iliofemoral vascular canal, the other to reconstitute the anterior wall of the left inguinal region. The report of this clinical case is taken as an opportunity to review the special nature of these tumors and their course and treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01195317
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  • 5
    Electronic Resource
    Electronic Resource
    The use of fibrin glues in the surgical treatment of incisional hernias (1997)
    Springer
    Hernia 1 (1997), S. 9-14 
    Details
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Fibrin glues ; Mesh repair ; Prosthesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The purpose of this work is to report on the results of a series of 110 operations for incisional hernia treated either by primary suture or by a plasty reinforced with a prosthesis placed anterior to the rectus sheath, and fixed by a new method involving a spray of fibrin glue. The composition and properties of the two fibrin glues presently available commercially in France are analysed, together with the procedures undertaken to prevent viral contamination. Several techniques of suture and hernioplasty have been used in this series, prostheses were all placed anterior to the myo-fascial layer. The arguments in favor of the choice of technique are put forward, as well as details of the surgical procedure. There was no mortality in this series. Minor complications were seen in 10% of cases. There was no significant difference between the two types of glue employed. Analysis of the results favors the routine use of suction drainage and a volume of glue of 2 ml. The use of a prosthesis fixed with fibrin glue reduces the definitive recurrence rate to 0.97%, against 9.02% for techniques using a prosthesis only and 18.3% for techniques without a prosthesis, in an overall series of 389 operations.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02426381
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  • 6
    Electronic Resource
    Electronic Resource
    The healing of laparotomies: A bibliographic study Part two: Technical aspects (2000)
    Springer
    Hernia 4 (2000), S. 41-48 
    Details
    ISSN: 1248-9204
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The closure of laparotomies continues to be the source of complications such as abscess of the abdominal wall, the formation of granulomas and sinuses, and above all evisceration and incisional hernia. Despite technologic progress as regards sutures, the evisceration rate has remained unchanged since the 19505. The aim of this bibliographic study is to analyze the factors that risk disturbing the healing of laparotomies, so as to establish which are the best techniques for opening and closing the abdominal wall and to provide the best guide to the choice of suture material. Midline incisions seem preferable and should be closed by a continuous suture in an single layer, passed at least 1.5 cm from the margins to the incision, with a thread four times as long. The abdominal wall only regains its mechanical functions of resistance to a significant degree after the 4th postoperative month. No absorbable suture material currently on the market is capable of maintaining adequate resistance during this critical period. Even though clinical studies do not for the greater part allow us to associate a particular type of suture with a more or less high risk of evisceration or incisional hernia, it seems logical to use a nonabsorbable material or a suture that is very slowly absorbed for patients with factors favoring these complications.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01230593
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    CD ROM reviews (1996)
    Springer
    Surgical and radiologic anatomy 18 (1996), S. 154-154 
    Details
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01795241
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    The healing of laparotomies: review of the literature (1998)
    Springer
    Hernia 2 (1998), S. 145-149 
    Details
    ISSN: 1248-9204
    Keywords: Laparotomy ; Wound healing ; Burst abdomen ; Incisional hernia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Closure of laparotomy incisions continues to be followed by complications such as infection, granuloma and fistula formation, and most particularly burst abdomen and incisional hernia. In spite of technological progress in the matter of suture materials, the incidence of burst abdomen remains unchanged. This study has the object of examining in the first place the physiological and pathological processes of scar tissue formation, in order to establish what are the best means of opening and closing the abdomen, as well as giving some guidelines as to the best suture materials. Normal healing is a complex process which comprises three phases which are fundamentally the same for all tissues. However, the speed with which they develop depends on the regenerative potential and repair of the damaged tissue. Healing of a wound may be considered to be complete when it has succeeded in re-establishing the function of the tissue which was injured. Aponeuroses, the function of which is mechanical, have weak powers of regeneration, and take a long time to repair. The abdominal wall only regains its preoperative resistance and strength at the fourth post operative month. Several general and local factors may interfere with the normal healing process of a laparotomy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01250034
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    Paper (German National Licenses)
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  • 9
    Electronic Resource
    Electronic Resource
    Incisional hernias due to loss of bone substance in the pelvic girdle (1997)
    Springer
    Hernia 1 (1997), S. 169-173 
    Details
    ISSN: 1248-9204
    Keywords: Hernia ; Incisional hernia ; Bone defect ; Iliac bone ; Pubic bone
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Iliac or suprapubic incisional hernias are infrequent complications of losses of bony substance of the pelvic girdle, but they pose special problems in repair. The aim of this study is to report four new cases: two of iliac hernia secondary to the taking of a graft from the iliac crest and two of suprapubic hernia after traumatic or iatrogenic loss of bone substance. The authors recommend the use of reinforcing prostheses for repair of these hernias having used them successfully in these four cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01234753
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  • 10
    Electronic Resource
    Electronic Resource
    Classification of incisional hernias of the abdominal wall (2000)
    Springer
    Hernia 4 (2000), S. 7-11 
    Details
    ISSN: 1248-9204
    Keywords: Incisional hernia ; Abdominal wall ; Classification ; Statistics ; Recurrence rate
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Incisional hernias of the abdominal wall assume many clinical forms in terms of their site and size, the quality of the tissues of the abdominal wall and the number of previous recurrences, among many other factors. Any serious prospective and possibly comparative scientific study dealing with the results of treatment must begin by defining the type of incisional hernia studied. Hence, it seemed necessary to employ a classification allowing a study or comparison of homogeneous groups. The aim of this work was to propose a simple classification of predictive value, based on a statistical study of the relations between four parameters, i.e. the site of the incisional hernia, the width of the hernial orifice, the number of previous recurrences, and the results of treatment. A retrospective study dealing with a series of 435 abdominal incisional hernias was done to this end.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01230581
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