RESUMO
Lumbar hernias are congenital or acquired posterolateral abdominal wall hernias and are located in the superior or inferior lumbar triangle. Traumatic lumbar hernias are rare, and the optimal method to repair these is not well-defined. We present the case of a 59-year-old obese female who presented after a motor vehicle collision with an 8.8 cm traumatic right-sided inferior lumbar hernia and overlying complex abdominal wall laceration. The patient underwent an open repair with retro rectus polypropylene mesh and biologic mesh underlay several months after the abdominal wall wound healed, and the patient lost 60 pounds. The patient recovered well without complications or recurrence at the one-year follow-up. This case demonstrates a complex, open surgical approach to repair a large traumatic lumbar hernia not amenable to laparoscopic repair.
Assuntos
Parede Abdominal , Hérnia Abdominal , Hérnia Ventral , Lacerações , Laparoscopia , Humanos , Feminino , Pessoa de Meia-Idade , Telas Cirúrgicas , Hérnia Abdominal/etiologia , Hérnia Abdominal/cirurgia , Parede Abdominal/cirurgia , Região Lombossacral/cirurgia , Lacerações/cirurgia , Hérnia Ventral/etiologia , Hérnia Ventral/cirurgia , HerniorrafiaRESUMO
The present work provides a detailed description on quantitative 3D magnetic field reconstruction using a scanning magnetoresistance microscopy setup incorporating a 19.5 μm × 2.5 μm magnetoresistive sensor. Therefore, making use of a rotation stage, 11 nm thick ferromagnetic CoFe elements with 20 μm × 5 μm planar size were measured along different sensor axes and converted into cartesian coordinate magnetic field components by use of the analytical coordinate transform equations. The reconstruction steps were followed and validated by numerical simulations based on a field averaging model caused by a non-negligible sensor volume. Detailed in-plane magnetic component reconstruction with ability to reconstruct sub-micrometer features is achieved. A discussion on the limiting factors for optimal resolution is presented.
RESUMO
Cada membro da equipe de enfermagem exerce funçäo necessária e importante no cuidado perinatológico. O Planejamento do cuidado é feito pela equipe, a qual determina a distribuiçäo dos deveres e responsabilidades de acordo com a categoria e o preparo de cada membro para realizaçäo de objetivos pré-estabelecidos. A fim de debelar de forma concentrada e acelerada o alto índice de morbidade e mortalidade infantil nesta regiäo sugerimos a introduçäo da Enfermeira Perinatologista na equipe, e a criaçäo de Centros Regionais de Perinatologia.
