Abdominal integument atrophy after operative procedures

The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Andrzej Smereczyński [verfasserIn] Katarzyna Kołaczyk [verfasserIn] Jan Lubiński [verfasserIn] Stefania Bojko [verfasserIn] Maria Gałdyńska [verfasserIn] Elżbieta Bernatowicz [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound

Übergeordnetes Werk:	In: Journal of Ultrasonography - Sciendo, 2016, 12(2012), 50, Seite 262-268
Übergeordnetes Werk:	volume:12 ; year:2012 ; number:50 ; pages:262-268

Links:	Link aufrufen Link aufrufen Journal toc Journal toc

Katalog-ID:	DOAJ031384412

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allfields	(DE-627)DOAJ031384412 (DE-599)DOAJ8599ea5d43d24b7abf98bc31688aad5b DE-627 ger DE-627 rakwb eng R5-920 R855-855.5 Andrzej Smereczyński verfasserin aut Abdominal integument atrophy after operative procedures 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument. abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound Medicine (General) Medical technology Katarzyna Kołaczyk verfasserin aut Jan Lubiński verfasserin aut Stefania Bojko verfasserin aut Maria Gałdyńska verfasserin aut Elżbieta Bernatowicz verfasserin aut In Journal of Ultrasonography Sciendo, 2016 12(2012), 50, Seite 262-268 (DE-627)84547152X (DE-600)2843824-3 2451070X nnns volume:12 year:2012 number:50 pages:262-268 https://doaj.org/article/8599ea5d43d24b7abf98bc31688aad5b kostenfrei http://jultrason.pl/index.php/issues/volume-12-no-50/abdominal-integument-atrophy-after-operative-procedures?aid=35 kostenfrei https://doaj.org/toc/2084-8404 Journal toc kostenfrei https://doaj.org/toc/2451-070X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2012 50 262-268
spelling	(DE-627)DOAJ031384412 (DE-599)DOAJ8599ea5d43d24b7abf98bc31688aad5b DE-627 ger DE-627 rakwb eng R5-920 R855-855.5 Andrzej Smereczyński verfasserin aut Abdominal integument atrophy after operative procedures 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument. abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound Medicine (General) Medical technology Katarzyna Kołaczyk verfasserin aut Jan Lubiński verfasserin aut Stefania Bojko verfasserin aut Maria Gałdyńska verfasserin aut Elżbieta Bernatowicz verfasserin aut In Journal of Ultrasonography Sciendo, 2016 12(2012), 50, Seite 262-268 (DE-627)84547152X (DE-600)2843824-3 2451070X nnns volume:12 year:2012 number:50 pages:262-268 https://doaj.org/article/8599ea5d43d24b7abf98bc31688aad5b kostenfrei http://jultrason.pl/index.php/issues/volume-12-no-50/abdominal-integument-atrophy-after-operative-procedures?aid=35 kostenfrei https://doaj.org/toc/2084-8404 Journal toc kostenfrei https://doaj.org/toc/2451-070X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2012 50 262-268
allfields_unstemmed	(DE-627)DOAJ031384412 (DE-599)DOAJ8599ea5d43d24b7abf98bc31688aad5b DE-627 ger DE-627 rakwb eng R5-920 R855-855.5 Andrzej Smereczyński verfasserin aut Abdominal integument atrophy after operative procedures 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument. abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound Medicine (General) Medical technology Katarzyna Kołaczyk verfasserin aut Jan Lubiński verfasserin aut Stefania Bojko verfasserin aut Maria Gałdyńska verfasserin aut Elżbieta Bernatowicz verfasserin aut In Journal of Ultrasonography Sciendo, 2016 12(2012), 50, Seite 262-268 (DE-627)84547152X (DE-600)2843824-3 2451070X nnns volume:12 year:2012 number:50 pages:262-268 https://doaj.org/article/8599ea5d43d24b7abf98bc31688aad5b kostenfrei http://jultrason.pl/index.php/issues/volume-12-no-50/abdominal-integument-atrophy-after-operative-procedures?aid=35 kostenfrei https://doaj.org/toc/2084-8404 Journal toc kostenfrei https://doaj.org/toc/2451-070X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2012 50 262-268
allfieldsGer	(DE-627)DOAJ031384412 (DE-599)DOAJ8599ea5d43d24b7abf98bc31688aad5b DE-627 ger DE-627 rakwb eng R5-920 R855-855.5 Andrzej Smereczyński verfasserin aut Abdominal integument atrophy after operative procedures 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument. abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound Medicine (General) Medical technology Katarzyna Kołaczyk verfasserin aut Jan Lubiński verfasserin aut Stefania Bojko verfasserin aut Maria Gałdyńska verfasserin aut Elżbieta Bernatowicz verfasserin aut In Journal of Ultrasonography Sciendo, 2016 12(2012), 50, Seite 262-268 (DE-627)84547152X (DE-600)2843824-3 2451070X nnns volume:12 year:2012 number:50 pages:262-268 https://doaj.org/article/8599ea5d43d24b7abf98bc31688aad5b kostenfrei http://jultrason.pl/index.php/issues/volume-12-no-50/abdominal-integument-atrophy-after-operative-procedures?aid=35 kostenfrei https://doaj.org/toc/2084-8404 Journal toc kostenfrei https://doaj.org/toc/2451-070X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2012 50 262-268
allfieldsSound	(DE-627)DOAJ031384412 (DE-599)DOAJ8599ea5d43d24b7abf98bc31688aad5b DE-627 ger DE-627 rakwb eng R5-920 R855-855.5 Andrzej Smereczyński verfasserin aut Abdominal integument atrophy after operative procedures 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument. abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound Medicine (General) Medical technology Katarzyna Kołaczyk verfasserin aut Jan Lubiński verfasserin aut Stefania Bojko verfasserin aut Maria Gałdyńska verfasserin aut Elżbieta Bernatowicz verfasserin aut In Journal of Ultrasonography Sciendo, 2016 12(2012), 50, Seite 262-268 (DE-627)84547152X (DE-600)2843824-3 2451070X nnns volume:12 year:2012 number:50 pages:262-268 https://doaj.org/article/8599ea5d43d24b7abf98bc31688aad5b kostenfrei http://jultrason.pl/index.php/issues/volume-12-no-50/abdominal-integument-atrophy-after-operative-procedures?aid=35 kostenfrei https://doaj.org/toc/2084-8404 Journal toc kostenfrei https://doaj.org/toc/2451-070X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2012 50 262-268
language	English
source	In Journal of Ultrasonography 12(2012), 50, Seite 262-268 volume:12 year:2012 number:50 pages:262-268
sourceStr	In Journal of Ultrasonography 12(2012), 50, Seite 262-268 volume:12 year:2012 number:50 pages:262-268
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound Medicine (General) Medical technology
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container_title	Journal of Ultrasonography
authorswithroles_txt_mv	Andrzej Smereczyński @@aut@@ Katarzyna Kołaczyk @@aut@@ Jan Lubiński @@aut@@ Stefania Bojko @@aut@@ Maria Gałdyńska @@aut@@ Elżbieta Bernatowicz @@aut@@
publishDateDaySort_date	2012-01-01T00:00:00Z
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id	DOAJ031384412
language_de	englisch
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In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. 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callnumber-first	R - Medicine
author	Andrzej Smereczyński
spellingShingle	Andrzej Smereczyński misc R5-920 misc R855-855.5 misc abdominal integument atrophy misc nephrectomy misc laparotomy misc cholecystectomy misc appendectomy misc ultrasound misc Medicine (General) misc Medical technology Abdominal integument atrophy after operative procedures
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topic_title	R5-920 R855-855.5 Abdominal integument atrophy after operative procedures abdominal integument atrophy nephrectomy laparotomy cholecystectomy appendectomy ultrasound
topic	misc R5-920 misc R855-855.5 misc abdominal integument atrophy misc nephrectomy misc laparotomy misc cholecystectomy misc appendectomy misc ultrasound misc Medicine (General) misc Medical technology
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title	Abdominal integument atrophy after operative procedures
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title_full	Abdominal integument atrophy after operative procedures
author_sort	Andrzej Smereczyński
journal	Journal of Ultrasonography
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author_browse	Andrzej Smereczyński Katarzyna Kołaczyk Jan Lubiński Stefania Bojko Maria Gałdyńska Elżbieta Bernatowicz
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author-letter	Andrzej Smereczyński
author2-role	verfasserin
title_sort	abdominal integument atrophy after operative procedures
callnumber	R5-920
title_auth	Abdominal integument atrophy after operative procedures
abstract	The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument.
abstractGer	The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument.
abstract_unstemmed	The aim of the study was to analyze clinical material concerning postoperative atro‑ phy of abdominal integument. Material and methods: The evaluated group consisted of 29 patients with sonographically revealed atrophy of the abdominal wall. Those changes were observed after various surgical procedures: mainly after long, anterolateral lapa‑ rotomies or several classical operations. Ultrasound examinations up to the year 2000 were performed with analog apparatus, in the latter years only with digital apparatus with linear transducers (7–12 MHz) and sometimes convex type conducers (3–5 MHz). The location, size and intestine stratified wall structure were evaluated. In each case the integument thickness was measured in millimeters in the site of the greatest atrophy and it was compared with the integument thickness from the side that had not been operated which enabled the calculation of the percentage reduction of integument in the area of the scar. Results: In 3 patients who underwent several laparotomies there was a total reduction of muscular mass in the operated area. In these cases we stated only skin and slightly echogenic subcutaneous strand; probably corresponding to fibrous tissue – the thickness of integument in this area was in the range from 3 to 8 mm. In the remaining 26 patients the integument atrophy on the scar level included muscles in a greater extent and covered an extensive area after classical urological procedures on the upper urinary tract: after nephrectomy and even ureter stone evacuation or kidney cyst excision by means of classical anterolateral approach with the integument incision on the length of almost 20 cm. Reduction in the integument thickness was observed on the smaller area after classical cholecystectomies, appendectomies and other surgical procedures with the incision across the integument. The integument atrophy in the operated sites expressed in absolute numbers was in the range of 7–20 mm (average 14 mm). These val‑ ues are markedly lower than the comparative integument thickness on the not operated side: 17–52 mm (average 25.4 mm). The percentage value of the integument thickness reduction oscillated in the range of 32–67% (average 44.2%). In most cases the atrophy involved all layers of the abdominal wall, what demonstrated as regional prominence of the integument, mimicking the presence of hernia. Conclusions: Ultrasonography allows precise evaluation of the size and extent of atrophy as well as depiction of other lesions simulating that effect. Establishing the correct diagnosis should prevent the unnecessary reconstructions of the abdominal integument.
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container_issue	50
title_short	Abdominal integument atrophy after operative procedures
url	https://doaj.org/article/8599ea5d43d24b7abf98bc31688aad5b http://jultrason.pl/index.php/issues/volume-12-no-50/abdominal-integument-atrophy-after-operative-procedures?aid=35 https://doaj.org/toc/2084-8404 https://doaj.org/toc/2451-070X
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author2	Katarzyna Kołaczyk Jan Lubiński Stefania Bojko Maria Gałdyńska Elżbieta Bernatowicz
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