Nuova tecnica di ricostruzione della parete addominale con intento plasticoriabilitativo
Background. Many abdominal wall reconstruction techniques didn’t generally pay
attention to some anatomical considerations concerning the thoraco-lumboabdominal
fascia continuity which envelopes dorsal and ventral muscles.
Objectives. We introduce a new surgical technique (Round Mesh) developed to
improve the abdominal wall weakness or pathology (hernia, laparocele) aiming at
restoring the muscular synergy between anterior and posterior trunk compartment,
thus improving the sacroiliac stability, posture, and standing effort endurance.
Materials and methods. 100 patients, both sexes, were
enrolled in this investigation. All were affected by
abdominal wall impairment, frank hernia or laparocele,
and complained of lumbar and sciatic pain since long
time, without a definite intervertebral disk pathology.
They underwent pre and postoperative subjective and
objective evaluation an insertion of a prefascial
polypropylene mesh provided of a posterior martingale
that passes across the spine and paravertebral muscles,
ending in two wider rectangles that are criss-crossed ventrally
and finally sutured to the puboiliac brim.
Results. All the patients improved either subjectively or
objectively with round mesh procedure.
Conclusions. This new technique is particular useful in
case of reduction or impairment of recti abdomen muscles,
because a simple suture and plication of these muscles
is not a guarantee of a long term functional restoration.