RESUMO
The article analyses the 17-year (1993-2009 yy) experience of surgical treatment of desmoid fibroma and sarcoma of the thoracic and abdominal wall. 46 operations were analyzed. The radical excision according to the principles of surgical oncology remains the mainstay in the treatment of such patients. The combined technique with the use of polymeric implantates allows to cover large wall defects, thus extending the operability borders and being one of the main factors of the better treatment prognosis.
Assuntos
Neoplasias Abdominais/patologia , Fibromatose Agressiva , Recidiva Local de Neoplasia , Procedimentos de Cirurgia Plástica , Sarcoma , Neoplasias Torácicas/patologia , Neoplasias Abdominais/fisiopatologia , Neoplasias Abdominais/cirurgia , Parede Abdominal/patologia , Adulto , Feminino , Fibromatose Agressiva/patologia , Fibromatose Agressiva/fisiopatologia , Fibromatose Agressiva/cirurgia , Humanos , Masculino , Polímeros/uso terapêutico , Próteses e Implantes , Procedimentos de Cirurgia Plástica/efeitos adversos , Procedimentos de Cirurgia Plástica/métodos , Sarcoma/patologia , Sarcoma/fisiopatologia , Sarcoma/cirurgia , Índice de Gravidade de Doença , Análise de Sobrevida , Neoplasias Torácicas/fisiopatologia , Neoplasias Torácicas/cirurgia , Parede Torácica/patologia , Resultado do TratamentoRESUMO
The experience of the Department for Plastic Surgery of the A.V. Vishnevsky. Institute of Surgery of RAMS in surgical treatment of 262 patients with postoperative hernias of the anterior abdominal wall has been summarized for the period from 1993 to 1998. 138 patients (test group) had large and giant hernias, 124 (control group)--small and middle-sized postoperative hernias. In large and giant hernias more frequently (46.1%) combined plastic reconstruction of the anterior abdominal wall was used rather than in small and middle-sized hernias (21.5%). In the majority of patients in control group (78.5%) autoplasty of the abdominal wall defect was carried out. In the long term period relapses developed in 9 (7.0%) patients of the test group. In 7 cases the relapse developed after the autoplasty (10.1%), and in 2 cases--after the use of combined method (3.4%). This supports perspectiveness of the method of postoperative hernioplasty by the combined method. Lethality rate after hernioplasty in the test group made up 2.3% (3 patients).
Assuntos
Hérnia Ventral/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Complicações Pós-Operatórias/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Hérnia Ventral/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/transplante , Complicações Pós-Operatórias/etiologia , Recidiva , Estudos Retrospectivos , Telas Cirúrgicas , Transplante Autólogo , Resultado do TratamentoRESUMO
The healing of sluggishly postburn wounds after local electrostimulation (ES) with the use of current-conducting carbon tissue as the electrode was studied in 12 patients. Analysis of the clinical data which were corroborated by the results of morphological and biochemical studies confirmed the marked stimulating effect of local ES which facilitates successful taking of dermal autografts and healing of burn wounds. The obtained data are evidence that the method of ES through a current-conducting carbon tissue is promising in the complex of measures for local treatment of burn wounds.
