O uso da prótese na correção das hérnias da parede abdominal é um avanço, mas o seu uso indiscriminado, um abuso

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dc.contributor.authorMinossi, José Guilherme [UNESP]
dc.contributor.authorSilva, Alcino Lázaro da
dc.contributor.authorSpadella, César Tadeu [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionCBCD
dc.contributor.institutionSOBRACIL
dc.contributor.institutionUniversidade Federal de Minas Gerais (UFMG)
dc.date.accessioned2014-05-20T15:10:56Z
dc.date.available2014-05-20T15:10:56Z
dc.date.issued2008-12-01
dc.description.abstractThe objective is to alert the surgeon about the indiscriminate use of synthetic prosthesis in the correction of inguinal and incisional hernias. The authors provide a brief history of surgery on hernias and a review of the literature, showing the importance of classifying inguinal hernias to fit the type of surgical correction with the defect found, abstaining from treating all hernias, with the same type of surgical procedure. In our opinion, small indirect inguinal hernias (type 1 and 2 of Gilbert) and hernias in women must not, in general, be treated with prostheses. The synthetic material should be reserved for direct and large indirect hernias. Even so, this attitude, besides determining a higher cost for the procedure, can lead to important complications such as infection, rejection, fistula formation, chronic pain, alterations in spermatogenesis and the possibility of carcinogenesis, according to more recent reports. The physiology and anatomy of the abdominal wall should be considered when dealing with incisional hernia corrections, where the surgeon can choose among many techniques to correct those defects, and in selected cases, utilize synthetic material. We conclude that although the use of biomaterials has constituted a great advance in surgery for abdominal wall hernia corrections because they decrease recurrences, and permit treatment of large abdominal hernias, the indiscriminate prosthesis usage is an abuse, and it can determine many serious complications, certainly avoidable with a well indicated non mesh technique .en
dc.description.affiliationUnesp Faculdade de Medicina Departamento de Cirurgia e Ortopedia
dc.description.affiliationCBCD
dc.description.affiliationSOBRACIL
dc.description.affiliationUniversidade Federal de Minas Gerais Faculdade de Medicina
dc.description.affiliationUnespUnesp Faculdade de Medicina Departamento de Cirurgia e Ortopedia
dc.format.extent416-424
dc.identifierhttp://dx.doi.org/10.1590/S0100-69912008000600013
dc.identifier.citationRevista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 35, n. 6, p. 416-424, 2008.
dc.identifier.doi10.1590/S0100-69912008000600013
dc.identifier.fileS0100-69912008000600013.pdf
dc.identifier.issn0100-6991
dc.identifier.lattes6223012281302736
dc.identifier.scieloS0100-69912008000600013
dc.identifier.urihttp://hdl.handle.net/11449/27842
dc.language.isopor
dc.publisherColégio Brasileiro de Cirurgiões
dc.relation.ispartofRevista do Colégio Brasileiro de Cirurgiões
dc.relation.ispartofsjr0,221
dc.rights.accessRightsAcesso aberto
dc.sourceSciELO
dc.subjectAbdominal wallen
dc.subjectSurgical meshen
dc.subjectHerniaen
dc.subjectventralen
dc.subjectProstheses and implantsen
dc.titleO uso da prótese na correção das hérnias da parede abdominal é um avanço, mas o seu uso indiscriminado, um abusopt
dc.title.alternativeProsthesis usage in abdominal wall hernia corretions is an advance, but the indiscriminate usage, is an abuseen
dc.typeArtigo
unesp.author.lattes6223012281302736
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Cirurgia e Ortopedia - FMB