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<creators>
<creator>
<creatorName>Bour, A.V.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Targon, R.</creatorName>
<affiliation>Spitalul Clinic Militar Central, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Dima, A.</creatorName>
<affiliation>Spitalul Clinic Militar Central, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Racoviţă, V.</creatorName>
<affiliation>Spitalul Clinic Militar Central, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Vrabie, A.</creatorName>
<affiliation>Spitalul Clinic Militar Central, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Cazacu, L.</creatorName>
<affiliation>Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“, Moldova, Republica</affiliation>
</creator>
<creator>
<creatorName>Potlog, F.</creatorName>
<affiliation>Spitalul Clinic Militar Central, Moldova, Republica</affiliation>
</creator>
</creators>
<titles>
<title xml:lang='ro,en'>Reconstrucţia peretelui abdominal prin tehnici de separare a componentelor &icirc;n tratamentul herniilor incizionale de mari dimensiuni</title>
</titles>
<publisher>Instrumentul Bibliometric National</publisher>
<publicationYear>2019</publicationYear>
<relatedIdentifier relatedIdentifierType='ISSN' relationType='IsPartOf'>1810-1852</relatedIdentifier>
<subjects>
<subject>hernie incisională gigantă</subject>
<subject>separarea posterioară a componentelor</subject>
<subject>eliberarea transversului</subject>
<subject>giant incisional hernia</subject>
<subject>posterior separation of the components</subject>
<subject>transvers abdominis muscle release</subject>
<subject schemeURI='http://udcdata.info/' subjectScheme='UDC'>617.55-007.43-089-06</subject>
</subjects>
<dates>
<date dateType='Issued'>2019-12-27</date>
</dates>
<resourceType resourceTypeGeneral='Text'>Journal article</resourceType>
<descriptions>
<description xml:lang='ro' descriptionType='Abstract'><p>Introducere: Managementul chirurgical al herniilor incizionale gigante reprezintă o problema provocatoare şi complexă. Reconstrucţia peretelui abdominal prin procedee de separare a componentelor completată cu augmentarea protetică şi restaurarea liniei albe reprezintă o nouă direcţie &icirc;n cura chirurgicală a eventraţiilor. Materiale și metode: &Icirc;n perioada septembrie 2017- mai 2019 am aplicat procedeul la 9 pacienţi (6 de sex masculin) cu hernii ventrale incizionale de mari dimensiuni. Dimensiunea medie a lăţimii defectului parietal a constituit 14 cm (interval 12,5- 19,5 cm).Repartiţia herniilor conform clasiicării EHS (2009): M1W3 (n=2), M2W3 (n=2),M3W3 (n=2), M5 W3 (n=2 ) și L2W3 (n=1). Tehnica de separare anterioară a componentelor O. Ramirez completată cu plasarea protezei DynaMesh&reg;IPOM a fost realizată la 5 pacienţi. Separarea posterioară a componentelor cu eliberarea muşchiului transvers abdominal (TAR) şi montarea plasei chirurgicale HERNI PRO P2 a fost realizată la 4 pacienţi. Rezultate: Complicaţii parietale au fost instalate la 3 pacienţi. Timpul mediu de urmarire a fost 11 luni fără recidivă. Concluzii: Tehnici de separare a componentelor oferă soluţia delicată pentru tratamentul eventraţiilor voluminoase şi asigură restabilirea funcţionalităţii peretelui abdominal</p></description>
<description xml:lang='en' descriptionType='Abstract'><p>Introduction: Giant incisional hernia repair is a complex and challenging issue. Modern reconstructive techniques are based on component separation augmented by prosthetic mesh. The recreation of linia alba represents a novel approach to ventral hernia repair. Materials and methods: Between September 2017 and May 2019 we used the component separation techniques in 9 patients (6 males) with giant ventral incisional hernias. The average width of the defect was 14 cm (range 12,5- 19,5 cm). According to EHS (2009) classiication, the groin hernias were classiied as type M1W3 (n=2), M2W3 (n=2), M3W3 (n=2), M5 W3 (n=2) și L2W3 (n=1). The anterior components separation technique (ACST) was used in 5 patients. ACST was realized by sliding the myofascial rectus lap and placement of prosthetic DynaMesh&reg;IPOM mesh in intraperitoneal position. Posterior component separation with transvers abdominis muscle release (TAR) and HERNI PRO P2 mesh placement in a sublay fashion was used in 4 patients. Results: We observed 3 cases of various types of wound complications. Patients were evaluated at a median follow up of 11 month without recurrence. Conclusions: Modern reconstructive techniques based on component separation ofer a solution for successful hernia management and provide high-level functionalityof the abdominal wall.</p></description>
</descriptions>
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<format>application/pdf</format>
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</resource>