CAUSES OF FAILURE IN ABDOMINAL WALL DEFECTS SURGERY
Abstract:
Abdominal wall defects occupy one of the leading places in the general surgery wards and tend to grow in recent years. Parietal defects are not always a pathology easy to approach because the abdominal wall reconstruction may result in total or partial failure intraoperatively or postoperatively. Parietal defects reconstruction failure may be influenced by factors related to the patient’s biological and general status (congenital anomalies, ascitic decompensation, gender etc), factors related to the surgical act itself (septic contamination, tissue changes, failure to follow the correct sequence of the surgical steps, alloplastic material) or a combination of the two categories which we called “borderline” failure factors (parietal hematoma, parietal suppuration, alloplastic material rejection, etc). The probability of surgical failure in the abdominal wall defects pathology increases with the parietal defect size, the urgency degree and the more unprepared patient, therefore the surgical indication is so prevalent in the chronic regimen.
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