{"id":14232,"date":"2023-08-31T20:24:54","date_gmt":"2023-08-31T18:24:54","guid":{"rendered":"https:\/\/cirugiaroboticaabdominal.com\/?p=14232"},"modified":"2023-10-24T20:25:09","modified_gmt":"2023-10-24T18:25:09","slug":"cirugia-compleja-de-la-pared-abdominal","status":"publish","type":"post","link":"https:\/\/cirugiaroboticaabdominal.com\/en\/cirugia-compleja-de-la-pared-abdominal\/","title":{"rendered":"COMPLEX ABDOMINAL WALL SURGERY"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"14232\" class=\"elementor elementor-14232\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fe4854f elementor-section-stretched elementor-section-content-bottom elementor-section-height-min-height elementor-section-items-stretch elementor-section-boxed elementor-section-height-default\" data-id=\"7fe4854f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7bd0312c\" data-id=\"7bd0312c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-491a23b elementor-widget elementor-widget-heading\" data-id=\"491a23b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">COMPLEX ABDOMINAL WALL SURGERY<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-23e93c4c elementor-section-content-middle elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"23e93c4c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-240f7929\" data-id=\"240f7929\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49b95b78 elementor-widget elementor-widget-heading\" data-id=\"49b95b78\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Good afternoon,\n\nThere are situations in which, as surgeons, we face significant challenges, as in the case presented below. This is an elderly, multi-operated patient who presented with full-thickness evisceration along the entire length of a previous laparotomy performed for a sigmoid volvulus. The initial surgery had been complicated by suture dehiscence, requiring reoperation and resulting in a terminal colostomy.\n\nAt the time of surgery, we found a completely open abdominal wall, with only a continuous suture partially holding the tissues, associated with tearing of the aponeurosis on one side. Despite performing a component separation, which was particularly challenging due to the presence of a colostomy, it was not possible to approximate the fascial edges. Therefore, we opted to place a viscera-contact mesh using an inlay technique, followed by skin and subcutaneous closure with a tubular drain.\n\nThe patient had a favorable postoperative course and was discharged after 10 days.\n\nThe inlay technique is known to have the worst long-term outcomes, with a high likelihood of developing an incisional hernia that may eventually require reoperation. However, in my view, the option chosen was appropriate in that context and was valuable in the acute setting, as it stabilized the abdominal wall and contributed to saving the patient.\n\nI would be interested to hear your thoughts on this approach.<\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-1e7cee5 e-flex e-con-boxed e-con e-parent\" data-id=\"1e7cee5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1ae0e84 elementor-widget elementor-widget-image-gallery\" data-id=\"1ae0e84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t\n<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"1ae0e84\" data-elementor-lightbox-title=\"IMG_0184\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTQxOTAsInVybCI6Imh0dHBzOlwvXC9jaXJ1Z2lhcm9ib3RpY2FhYmRvbWluYWwuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIzXC8wOFwvSU1HXzAxODQuanBnIiwic2xpZGVzaG93IjoiMWFlMGU4NCJ9\" href='https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0184.jpg'><img fetchpriority=\"high\" decoding=\"async\" width=\"224\" height=\"300\" src=\"https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0184-224x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0184-224x300.jpg 224w, https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0184.jpg 239w\" sizes=\"(max-width: 224px) 100vw, 224px\" \/><\/a>\n<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"1ae0e84\" data-elementor-lightbox-title=\"IMG_0182\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTQxODksInVybCI6Imh0dHBzOlwvXC9jaXJ1Z2lhcm9ib3RpY2FhYmRvbWluYWwuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIzXC8wOFwvSU1HXzAxODIuanBnIiwic2xpZGVzaG93IjoiMWFlMGU4NCJ9\" href='https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0182.jpg'><img decoding=\"async\" width=\"300\" height=\"224\" src=\"https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0182-300x224.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0182-300x224.jpg 300w, https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0182.jpg 320w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n<a data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-slideshow=\"1ae0e84\" data-elementor-lightbox-title=\"IMG_0181\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MTQxODgsInVybCI6Imh0dHBzOlwvXC9jaXJ1Z2lhcm9ib3RpY2FhYmRvbWluYWwuY29tXC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIzXC8wOFwvSU1HXzAxODEuanBnIiwic2xpZGVzaG93IjoiMWFlMGU4NCJ9\" href='https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0181.jpg'><img decoding=\"async\" width=\"224\" height=\"300\" src=\"https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0181-224x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0181-224x300.jpg 224w, https:\/\/cirugiaroboticaabdominal.com\/wp-content\/uploads\/2023\/08\/IMG_0181.jpg 239w\" sizes=\"(max-width: 224px) 100vw, 224px\" \/><\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Cirug\u00eda compleja de la pared abdominal Buenas tardes , hay situaciones en que como m\u00e9dicos nos enfrentamos a retos importantes como es el caso que les presento a continuaci\u00f3n. Se trata de un paciente mayor multioperado que presentaba una evisceraci\u00f3n de toda la longitus de la laparotom\u00eda previa por una v\u00f3lvulo de sigma. La cirug\u00eda [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-14232","post","type-post","status-publish","format-standard","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cirug\u00eda compleja de la pared abdominal - cirug\u00eda rob\u00f3tica abdominal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cirugiaroboticaabdominal.com\/en\/cirugia-compleja-de-la-pared-abdominal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cirug\u00eda compleja de la pared abdominal - cirug\u00eda rob\u00f3tica abdominal\" \/>\n<meta property=\"og:description\" content=\"Cirug\u00eda compleja de la pared abdominal Buenas tardes , hay situaciones en que como m\u00e9dicos nos enfrentamos a retos importantes como es el caso que les presento a continuaci\u00f3n. Se trata de un paciente mayor multioperado que presentaba una evisceraci\u00f3n de toda la longitus de la laparotom\u00eda previa por una v\u00f3lvulo de sigma. 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