Carreirão S, Correa W E, Dias L C, Pitanguy I
Aesthetic Plast Surg. 1984;8(3):173-9. doi: 10.1007/BF01597522.
An experimental and clinical study using alloplastic materials (Marlex and Prolene mesh) for repairing large defects of the abdominal wall is reported. A defect was created in the experimental model to simulate an anatomical disarrangement of the musculo-aponeuroticfascial complex of the abdominal wall and the surgical correction of this deformity. Macroscopic and microscopic observations of the operated area were done to demonstrate the good integration of the surrounding tissues with the mesh. In a clinical study, 16 patients, presenting large eventrations of the abdominal wall, were surgically treated using Marlex or Prolene mesh to reinforce the abdominal wall. Two techniques of abdominoplasty, vertical and horizontal, were performed on these patients, according to the location of previous scars. The advantages of using alloplastic materials to reinforce the abdominal wall and the cosmetic results of both abdominoplasty techniques are discussed.
本文报道了一项使用异体材料(Marlex和普理灵补片)修复腹壁大缺损的实验和临床研究。在实验模型中制造缺损,以模拟腹壁肌肉-腱膜-筋膜复合体的解剖紊乱以及对该畸形的手术矫正。对手术区域进行宏观和微观观察,以证明周围组织与补片的良好整合。在一项临床研究中,对16例腹壁巨大膨出患者使用Marlex或普理灵补片进行手术治疗以加强腹壁。根据既往瘢痕的位置,对这些患者采用了两种腹壁成形术技术,即垂直和水平技术。讨论了使用异体材料加强腹壁的优点以及两种腹壁成形术技术的美容效果。