Cadaver as an experimental a model for the study of midline incisional hernia

PURPOSE: To describe a cadaver model and to compare different techniques to correct midline incisional hernia using the tension at the musculoaponeurotic layer as a parameter. METHODS: Twenty-four male cadavers were used to characterize the model. The tensile force applied to the anterior layers of...

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Detalles Bibliográficos
Autores: Silveira, Romar Ângelo Barbato [UNIFESP], Nahas, Fabio Xerfan [UNIFESP], Hochman, Bernardo [UNIFESP], Bazzano, Felix Carlos Ocariz, Amorim, Carlos Roberto [UNIFESP], Ferreira, Lydia Masako [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/6572
Acceso en línea:http://dx.doi.org/10.1590/S0102-86502011000400011
http://repositorio.unifesp.br/handle/11600/6572
Access Level:acceso abierto
Palabra clave:Hernia, Ventral
Abdominal Muscles
Tensile Strength
Rectus Abdominis
Cadaver
Hérnia Ventral
Músculos Abdominais
Resistência à Tração
Reto do Abdome
Descripción
Sumario:PURPOSE: To describe a cadaver model and to compare different techniques to correct midline incisional hernia using the tension at the musculoaponeurotic layer as a parameter. METHODS: Twenty-four male cadavers were used to characterize the model. The tensile force applied to the anterior layers of the rectus abdominis muscle was measured after the linea alba was resected to create an abdominal wall defect. A dynamometer was used to measure the tensile force necessary to cause a 10-mm displacement of the tissues towards the midline. An index that allows comparison of tensile forces from different points was calculated by dividing the tensile force by the distance between the point of force application at the aponeurosis and the midline. RESULTS: Cadaver is a good model for the study of midline incisional hernia. CONCLUSION: Cadaver can be used effectively as a model to evaluate tension of the abdominal wall when tissue advancement and musculoaponeurotic flaps are performed in the repair of midline incisional hernia.