Avaliação histoquímica quantitativa do colágeno na fascia transversalis e na bainha anterior do músculo reto abdominal em doentes com hérnia inguinal

BACKGROUND: To evaluate the role of colagen in etiopathogeny of inguinal hernias through quantitative histochemical analysis of the abdominal rectum sheaths and fascia transversalis. METHODS: Forty male patients with Nyhus type II and IIIa inguinal hernias, were operated, age ranged from 20 to 60 ye...

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Detalles Bibliográficos
Autores: Gonçalves, Rogério de Oliveira [UNIFESP], Silva, Evandro de Moraes E [UNIFESP], Marques, Tatiana Cunha, Lopes Filho, Gaspar de Jesus [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2003
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/1793
Acceso en línea:http://dx.doi.org/10.1590/S0100-69912003000400007
http://repositorio.unifesp.br/handle/11600/1793
Access Level:acceso abierto
Palabra clave:Inguinal hernia
Collagen
Fascia
Quantitative analysis
Hérnia Inguinal
Colágeno
Fáscia
Análise quantitativa
Descripción
Sumario:BACKGROUND: To evaluate the role of colagen in etiopathogeny of inguinal hernias through quantitative histochemical analysis of the abdominal rectum sheaths and fascia transversalis. METHODS: Forty male patients with Nyhus type II and IIIa inguinal hernias, were operated, age ranged from 20 to 60 years, and ten control subjects with the same age were autopsied. Samples were collected from rectum sheaths and fascia transversalis from each group, and collored by the histochemical technique Picrocirius and morphometric analysis, which was carried out by using the image representation technique. These studies focused mainly on identify the possible quantitative changes in collagen in each of the two types of hernias compared to individuals without hernias. RESULTS: We found an increased collagen concentration in rectum sheath when compared to fascia transversalis in all groups studied. These diferences, however, was only estatistically significant in control group. We found no difference in collagen concentration in rectum sheaths and fascia transversalis from pacients with Nyhus type II or IIIa hernias. No diference in collagen concentration was found in hernias'group compared to control group. CONCLUSION: There was no statistically significant difference between the amount of collagen of abdominal rectum sheaths and of the fascia transversalis among patients with Nyhus type II and IIIa inguinal hernias and the amounts found in individuals without hernias.