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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1128_Библиотеки_им_академика_М_И_Перельмана.pdf
Index
253
Definitive reconstructive surgery
biologic mesh, 90
clinical presentation, 88
DCL, 87
ECFs, 87
enterocutaneous fistulas, 89
inflammation, 89
optimization, 87
perioperative morbidity, 87
prosthetic mesh, 89
traditional teaching, 88
waiting period, 89
Dehiscence, 220
Dense and fibrotic adhesions, 93
Diabetes, 32
Diet Regimen, 233
D-lactic acidosis, 235
DMP model, 4
Double mesh, 170–171
Double prosthetic repair, 171
During damage control surgery (DCS), 77
E
Ehlers–Danlos syndrome, 13
End stage liver disease (ESLD), 156
End stage organ disease (ESOD), 155, 157–158
End stage renal disease (ESRD), 159, 163
Endocrine disorders, 247
End-organ dysfunction, 17
Enteral nutrition (EN), 18
Enteroatmospheric fistulas (EAFs), 55, 82, 87
Enterocutaneous fistula (ECF), 20, 88
classification, 21
pysiology, 21–22
Enterocutaneous fistulas (ECFs), 21, 55, 93
Expanded polytetrafluoroethylene (ePTFE), 105, 188–189, 207
F
Fascial repair, 103
Fascial tensioning device, 81
Fasciocutaneous flap advancement, 111
Fatal aggressive fibromatosis, 30
Fibrin sealant, 190
Flank complex hernia
bone edges, 169
classification, 167–168
clinical and diagnosis, 168–169
double mesh, 170–171
factors, 167
incisional hernias, 167
intramuscular mesh, 169
intraperitoneal mesh, 170
medial ventral hernias, 169
open technique, 169
preperitoneal mesh, 170
suprafascial mesh, 169
surgical and social problem, 167
topographic anatomy, 168
Fluid collection, 47
Free flap
locoregional flap, 111
pedicled regional flap, 110
soft tissue coverage, 111
Full abdominoplasty, 213
G
Gastroesophageal (GE) junction, 98
Gastrointestinal (GI) tract, 17
Gastrointestinal fistula, 22
Gastrointestinal quality of life (GIQLI), 179
Gastrointestinal system evaluation,
246–247
Gastroschisis, 141, 144
Giant omphaloceles, 146
Glutamine, 233
Growth factors, 233–234
Growth hormone, 233
H
Harris–Benedict equation, 19
Heart failure (HF), 245
Hematologic and coagulation evaluation, 247
Hematoma, 32, 220
Hernia
bacterial adherence, 208
biological grafts, 207
biomaterials, 208
definition, 209
infection rate, 207
laparoscopic repair, 209
material, 207
repair, 209
Hernia classification, 157
Hernia grading system, 83, 157
Hernia recurrence rates, 149
Hernia repair, 158, 159
Hernias
abdominal wall hernias, 193
contaminated, 193
fistulas, 193
Herniation, 45
History of abdominal wall repair
abdominal wall, 7
absorbable mesh, 9
laparotomy, 7
local tissue approach, 8
nonabsorbable mesh, 8–9
prosthetic materials, 8
History of abdominal wall repair, 7–9
Hostile abdomen, 96
abdominal wall, 97
GI tract, 98
intra-operative decisions, 98
patients, 94
planning reconstruction, 97
preoperative conditions, 93–94
timing of the operation, 97
Human Acellular Dermal Matrix (HADM), 162
Hypovolemia, 97
I
Iliac hernia, 171
Incisional abdominal wall hernia repair, 83
Incisional hernia, 27–28
long-term complication, 179
multiple laparotomies, 179
operations, 179
recurrence, 183
treatment, 184
254
Index
Incisional hernias, 155
Infected mesh
diagnosis, 208–209
infection rate, 207
management, 209–210
microporous meshes, 207
pathogenesis, 207–208
risk factors, 207–208
Intensive care unit (ICU), 5, 18
Interposition, 196
Intestinal adaptation, 233–235
Intestinal anastomosis, 63–64
Intestinal failure
analogous, 225
definitions, 225
SBS, 226
Intestinal Failure Associated Liver Disease (IFALD), 235
Intestinal lengthening, 236
Intestinal transplantation, 237–238
Intra-abdominal hypertension (IAH)
abdominal cavity, 201
abdominal compartment syndrome, 201
and ACS, 201
and organ system dysfunction, 201
patient selection, 202
post-operative, 204
Intra-abdominal pressure (IAP), 201
Intra-abdominal sepsis, 94
Intraperitoneal mesh, 170
Ischemic complications, 220–221
Ischemic heart disease (IHD) spectrum, 244
J
Jaundice, 33
K
Kinetic Concepts Inc. (KCI), 80
L
Laparoscopic access
advantages, 177
bowel loops/mesenteric vessels, 175
carbon dioxide, 175
incisional hernia repair, 175
injuries, 175
patient selection, 175
surgical technique, 176–177
Laparoscopic component separation, 68
Laparoscopic hernia repair
abdominal wall defects, 179
complications, 183–184
equipment, 179–180
intra-abdominal adhesions, 179
long-term complication, 179
in men and women, 179
mesh repair, 179
patient preparation, 179–180
postoperative care, 183
surgical technique, 181–182
Laparoscopic incisional hernia, 162
Laparoscopic repair, 9
Laparoscopic ventral hernia, 126
Laparoscopic ventral hernia repair (LVHR), 161
Laparoscopy
in hernia repair, 171–173
Laparotomy, 161
Laparotomy wound healing, 31
Laplace effect, 13
Lateral hernia
classification, 168
double prosthetic repair, 171
double-mesh technique, 170
outpatient treatment, 173
preperitoneal area, 169
surgical and social problem, 167
Left ventricular ejection fraction (LVEF), 245
Linea semilunaris, 117–118
Lipoabdominoplasty, 213, 214, 220
Liposuction, 213
Liver disease, 235–237
Liver transplantation, 164
Living donor liver transplant (LDLT), 156, 164
Long term post-operative, 215
Long-term management, 232, 233
M
Major adverse cardiac event (MACE), 245
Malnutrition, 17
Massive fluid resuscitation, 115
Massive hernias, 125, 126
Massive weight loss (MWL), 215, 216
Medical/minimally invasive therapy, 204
MELD score, 159
Mental model, 4
Mesh
abdominal hernias, 193
abdominal wall hernias, 193
choice, 193
management, 193
placement technique, 194
“single-staged” approach, 193
synthetic grafts, 193
Mesh graft selection, 68–69
Mesh placement, 69–70
Micronutrients, 23
Microporous meshes, 105–106
Miniabdominoplasty, 213
Minimally invasive anterior component, 128
Minimally invasive component separation (MICS),
108, 109
abdominal wall defects, 125
abdominal wall reconstruction, 133
AWR surgeon, 125
complex abdominal reconstruction, 126
contamination, 130
fascial closure, 108
functional abdominal wall reconstruction, 126
IPOM procedure, 133
laparoscopic procedure, 132
nutritional status, 129
pre-operative care, 129–133
pre-operative/intra-operative measures, 126
risk factors, 130
skin graft, 129
subcutaneous access tunnel, 110
TAR, 125
Model for end stage liver disease (MELD), 159
Musculofasciocutaneous flap, 102
Index
255
N
Negative pressure wound therapy (NPWT), 79
Negative pressure wound vacuum therapy, 147
Nerve problems, 221
Neurological system evaluation, 244
Nonabsorbable Mesh, 8–9
Nutritional consideration
biochemical measurements, 17
C-reactive protein, 19
crystalloid/colloid, 18
ECF formation, 20, 21
fistula output, 23
lethal triad, 18
malnutrition, 17
open abdomen, 17–19
parenteral vs. enteral nutrition, 22–23
recommendations, 20
Nutritional evaluation, 247
Nutritional optimization, 93
Nutritional status, 22
O
Ochsner’s comment, 120
Omphalocele, 145, 148
Onlay mesh placement, 194
Open abdomen, 29, 227, 238, 249
Open abdominal (OA) wounds, 27
Open access
abdomen, 176
Open component separation, 65–67
Orthotopic liver transplantation (OLT), 155
P
Panniculectomy, 216–217
Panniculectomy incisions, 111
Paramedian skin, 111
Parenteral nutrition associated liver disease
(PNALD), 235
Parietex™, 8
Pedicled flap, 111
Pedicled thigh-based flaps, 111
Percutaneous coronary interventions (PCI), 244
Perioperative radiologic evaluation
abdominal wall defect, 46
abdominal wall hernia, 38
adynamic mesh, 44
bowel loops, 39
component separation, 50
CT, 39
diagnosis, 37–38
intraoperative guidance, 43–46
MRI, 40
parastomal hernia, 45
postoperative complications, 46
proinflammatory milieu, 37
recurrence, 47
ultrasonography, 38
Pinch test, 89
Planned hernia, 101, 103
Planned ventral hernia, 126, 129, 134
Polydioxanone (PDS) suture, 149
Polyester, 188
Polypropylene, 188
Polypropylene mesh, 189
Post bariatric plastic surgery
abdominoplasty, 213
extra skin, 213
Post-massive weight loss, 216–218
Premorbid conditions, 247
Preoperative testing
abdominal wall reconstruction, 243
healthcare providers, 243
operating team, 243
preoperative care, 243
reconstructive procedure, 243
risk, 244
surgical procedure, 243
Prosthetic materials
CAWD, 187
hernia surgery, 187
long-term strength, 188
material, 188
mesh repair, 188
surgical repair, 187
ventral hernia repair, 188
Prosthetic mesh, 162
Pulmonary embolism, 221
R
Reapproximation, 40
Recognition-primed decision-making, 4
Rectus sheath turnover, 121
Recurrence
complications, 209
hernia, 209
second operation, 209
Recurrent incisional hernia, 28
Removal of infected mesh, 209, 210
Renal system evaluation, 246
Retention sutures, 79
Retentions sutured sequential fascial closure (RSSFC) procedure, 79
Retrorectus fluid collections, 48
Rives–Stoppa mesh placement technique, 195
Rives-Stoppa–Wantz, 126
S
Scar deformity, 221
Semielemental formulas, 23
Seroma, 220
Short bowel syndrome (SBS)
abdominal compartment syndrome, 227
bowel adaptation, 231–232
bowel resections, 227
catastrophic situations, 227
clinical description, 225
enterocolitis/massive atresia, 227
factors, 226
gastroschisis, 227
hypoproteinemic malnutrition, 228
ileocecal valve, 226
intestinal failure, 225, 226
kidney stones, 226
laboratory development, 225
long-term management, 232, 233
management, 238
metabolic management, 225
nutritional and metabolic management, 229–230
nutritional and metabolic status, 226
256
Index
Short bowel syndrome (SBS) (cont.)
pathophysiology, 228–229
pediatric surgery teams, 227
postoperative period, 230–231
small intestine, 226
standardization, 226
surgical considerations, 236–237
surgical correction, 227
symptoms, 226
synopsis, 229
variability, 226
Short-gut syndrome, 96
Silo contents, 146
Silver sulfadiazine, 141, 147
Simultaneous liver and kidney transplantation (SLKT), 156
Sirolimus, 160
Skin and subcutaneous tissue, 78
Skin graft closure, 102
Skin management
deficiency, 111
redundancy, 111
Small seroma anterior, 50
Small-bowel follow-through study, 39
Social and addiction issues, 247
Somatostatin, 23
Southern Surgical Association, 8
SOWATS, 56
Spacemaker™, 131
Split-thickness skin graft (STSG), 62
Staged abdominal wall reconstruction
maturation period, 101
planned ventral hernia, 101
rectus muscles, 101
single-stage reconstructive solution, 102
TAC, 101
TFL, 102, 103
type I and II defect, 103
Steroids, 32
Stomas, 135–136
Strangulated hernias, 162
Strattice™, 68
Subcostal hernia, 173
Superior/reverse abdominoplasty, 213
Suprafascial mesh, 169
Surgeons’ intraoperative decisions, 3–4
Surgical decompression, 204
Surgical site occurrence (SSO), 72
Sutureless closure, 143–144
Synthetic mesh, 82
Synthetic non-absorbable polymers
composites, 190
polyester, 188
polypropylene, 188
T
Temporary abdominal closure (TAC), 5, 77, 79, 101, 249
Tensor fascia latae (TFL), 102, 103
Thoracic epidural analgesia, 130
Tight double-mesh technique, 171
Tissue engineering (TE), 250
Tissue transfer
abdominal compartment syndrome, 115
abdominal contents, 116
acute abdominal wall, 116
dissection proceeds, 118
heterogeneity, 116
laparotomy, 119
neurovascular plane, 116
standard fascial closure, 119
trauma patients, 121
Total enteral nutrition (TEN), 18, 58
Total parenteral nutrition (TPN), 18, 95
Towel Clip Closure, 78
Transplantation and immunosuppressive therapy, 159
Transversus abdominal release (TAR), 125
Transversus abdominus muscle (TAM), 68
Transversus abdominus release (TAR), 67
Traumatic lumbar hernia, 42
U
Ultrasonography, 38, 46
Underlay mesh placement, 194–195
Upper gastrointestinal (UGI) series, 59
Uremia, 33
V
Vacuum-assisted closure (VAC), 58, 79, 97, 196, 249
Vacuum-assisted wound closure, 79–80
Vacuum-packed dressing, 115
Valsalva maneuver, 38
Vascularized flaps, 102
Venous thrombosis, 221
Ventral hernia, 7, 9, 187, 188
in men and women, 179
prevalence, 183
recurrence rate, 179
Ventral hernia repair, 162
hospital stay, 105
Rives-Stoppa ventral hernia repair technique, 109
Ventral Hernia Working Group (VHWG), 83, 106, 157
®
Vicryl
, 80
Vicryl™, 63
Video-Assisted Anterior Component Separation Technique,
128–129
Viscero-abdominal disproportion, 148
W
Water assisted liposuction (WAL), 213
Wittmann Patch
®
, 115
World Society of Emergency Surgery guideline, 164
Y
Yale New Haven Transplantation Center, 159