Use of botulinum toxin in surgical preparation for complex incisional hernias

Authors

  • João Kleber de Gentile Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID) https://orcid.org/0000-0001-8650-2703
  • Amanda Salvati Beck Lima Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz
  • Cassiana de Moura e Costa Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz
  • Gabriella Muraro Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz
  • Lorena Freitas da Silva Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz

DOI:

https://doi.org/10.52600/2763-583X.bjcr.2022.2.3.75-82

Keywords:

Incisional Hernia, Botulinum Toxins, Type A, Abdominal wall

Abstract

Abdominal wall defects with incisional hernias after surgery represent a great challenge for surgeons due to their technical complexity for treatment, largely attributed to the retraction of the lateral muscles of the abdominal wall. Reconstruction of the abdominal wall is understood to re-functionalize it with the approximation of the rectus abdominis muscles through its midline. The use of botulinum toxin serotype A (TBA) has shown that its use produces a temporary flaccid paralysis in the abdominal muscles, favoring midline closure, caused by muscle flaccidity and greater complacency caused by the toxin. Abdominal hernias result in increased morbidity due to lung restriction, aerophagia, abdominal pain, constipation, and urinary alterations), with a consequent decrease in quality of life. The objective of this study is describe our initial experience with chemical separation of components using the TBA in Brazil.

Author Biographies

João Kleber de Gentile, Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID)

Médico Cirurgião do Aparelho Digestivo. Membro Titular Especialista do Colégio Brasileiro de Cirurgia Digestiva (CBCD). Fellow of American College of Surgeons (FACS) Professor da Disciplina de Técnica Operatória e Habilidades Cirúrgicas da Faculdade de Medicina da Universidade Cidade de São Paulo (FM-UNICID). São Paulo, SP, Brazil.

Amanda Salvati Beck Lima , Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz

Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz. Cascavel, PR, Brazil.

Cassiana de Moura e Costa , Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz

Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz. Cascavel, PR, Brazil.

Gabriella Muraro , Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz

Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz. Cascavel, PR, Brazil.

Lorena Freitas da Silva, Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz

Aluno(a) de Ciências Médicas da Faculdade de Medicina do Centro Universitário Assis Gurgacz. Cascavel, PR, Brazil.

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Published

2022-06-13

Issue

Vol. 2 No. 3 (2022): July/September - 2022

Section

Experience Report

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Copyright (c) 2022 This work is licensed under a Creative Commons Attribution 4.0 International License.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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