Unidad de Cirugía de Pared y Corta Estancia, Hospital Universitario y Politécnico La Fe, Valencia, España.
Unidad de Cirugía de Pared y Corta Estancia, Hospital Universitario y Politécnico La Fe, Valencia, España.
Cir Esp (Engl Ed). 2024 Jul;102(7):391-399. doi: 10.1016/j.cireng.2023.12.003. Epub 2024 Feb 9.
The prehabilitation of the abdominal wall through the infiltration of botulinum toxin type A, which induces temporary chemical denervation ("chemical component separation") in the lateral abdominal musculature, is a common practice in units specialized in abdominal wall surgery. However, its use for this indication is currently off-label. The main objective of this article is to describe a consensus proposal regarding indications, contraindications, dosages employed, potential side effects, administration method, and measurement of possible outcomes. Additionally, a proposal for an informed consent document endorsed by the Abdominal Wall Section of the Spanish Association of Surgeons is attached.
腹壁的预康复通过注射肉毒毒素 A，在侧腹肌中诱导暂时的化学去神经支配（“化学性成分分离”），这在专门从事腹壁手术的单位中是一种常见做法。然而，目前其在该适应证中的应用是超适应证的。本文的主要目的是描述关于适应证、禁忌证、使用剂量、潜在副作用、给药方法和可能结果的测量的共识建议。此外，还附有西班牙外科医生协会腹壁分会认可的知情同意书草案。
