Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report
Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large...
Ausführliche Beschreibung
Autor*in: |
Miura, Kohei [verfasserIn] Kobayashi, Takashi [verfasserIn] Ishikawa, Hirosuke [verfasserIn] Saito, Seiji [verfasserIn] Obata, Yasuo [verfasserIn] Toge, Koji [verfasserIn] Hirose, Yuki [verfasserIn] Takizawa, Kazuyasu [verfasserIn] Sakata, Jun [verfasserIn] Tasaki, Masayuki [verfasserIn] Saito, Kazuhide [verfasserIn] Nakajima, Yoriko [verfasserIn] Matsuda, Ken [verfasserIn] Tomita, Yoshihiko [verfasserIn] Wakai, Toshifumi [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Übergeordnetes Werk: |
Enthalten in: Transplantation proceedings - Amsterdam [u.a.] : Elsevier Science, 1997, 54 |
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Übergeordnetes Werk: |
volume:54 |
DOI / URN: |
10.1016/j.transproceed.2021.09.076 |
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Katalog-ID: |
ELV007620403 |
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245 | 1 | 0 | |a Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report |
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520 | |a Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. | ||
700 | 1 | |a Kobayashi, Takashi |e verfasserin |4 aut | |
700 | 1 | |a Ishikawa, Hirosuke |e verfasserin |4 aut | |
700 | 1 | |a Saito, Seiji |e verfasserin |4 aut | |
700 | 1 | |a Obata, Yasuo |e verfasserin |4 aut | |
700 | 1 | |a Toge, Koji |e verfasserin |4 aut | |
700 | 1 | |a Hirose, Yuki |e verfasserin |4 aut | |
700 | 1 | |a Takizawa, Kazuyasu |e verfasserin |0 (orcid)0000-0002-0422-5456 |4 aut | |
700 | 1 | |a Sakata, Jun |e verfasserin |4 aut | |
700 | 1 | |a Tasaki, Masayuki |e verfasserin |4 aut | |
700 | 1 | |a Saito, Kazuhide |e verfasserin |4 aut | |
700 | 1 | |a Nakajima, Yoriko |e verfasserin |4 aut | |
700 | 1 | |a Matsuda, Ken |e verfasserin |4 aut | |
700 | 1 | |a Tomita, Yoshihiko |e verfasserin |4 aut | |
700 | 1 | |a Wakai, Toshifumi |e verfasserin |0 (orcid)0000-0003-2443-3428 |4 aut | |
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10.1016/j.transproceed.2021.09.076 doi (DE-627)ELV007620403 (ELSEVIER)S0041-1345(21)00918-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Miura, Kohei verfasserin aut Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. Kobayashi, Takashi verfasserin aut Ishikawa, Hirosuke verfasserin aut Saito, Seiji verfasserin aut Obata, Yasuo verfasserin aut Toge, Koji verfasserin aut Hirose, Yuki verfasserin aut Takizawa, Kazuyasu verfasserin (orcid)0000-0002-0422-5456 aut Sakata, Jun verfasserin aut Tasaki, Masayuki verfasserin aut Saito, Kazuhide verfasserin aut Nakajima, Yoriko verfasserin aut Matsuda, Ken verfasserin aut Tomita, Yoshihiko verfasserin aut Wakai, Toshifumi verfasserin (orcid)0000-0003-2443-3428 aut Enthalten in Transplantation proceedings Amsterdam [u.a.] : Elsevier Science, 1997 54 Online-Ressource (DE-627)306710870 (DE-600)1500785-6 (DE-576)082436088 1873-2623 nnns volume:54 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 54 |
spelling |
10.1016/j.transproceed.2021.09.076 doi (DE-627)ELV007620403 (ELSEVIER)S0041-1345(21)00918-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Miura, Kohei verfasserin aut Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. Kobayashi, Takashi verfasserin aut Ishikawa, Hirosuke verfasserin aut Saito, Seiji verfasserin aut Obata, Yasuo verfasserin aut Toge, Koji verfasserin aut Hirose, Yuki verfasserin aut Takizawa, Kazuyasu verfasserin (orcid)0000-0002-0422-5456 aut Sakata, Jun verfasserin aut Tasaki, Masayuki verfasserin aut Saito, Kazuhide verfasserin aut Nakajima, Yoriko verfasserin aut Matsuda, Ken verfasserin aut Tomita, Yoshihiko verfasserin aut Wakai, Toshifumi verfasserin (orcid)0000-0003-2443-3428 aut Enthalten in Transplantation proceedings Amsterdam [u.a.] : Elsevier Science, 1997 54 Online-Ressource (DE-627)306710870 (DE-600)1500785-6 (DE-576)082436088 1873-2623 nnns volume:54 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 54 |
allfields_unstemmed |
10.1016/j.transproceed.2021.09.076 doi (DE-627)ELV007620403 (ELSEVIER)S0041-1345(21)00918-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Miura, Kohei verfasserin aut Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. Kobayashi, Takashi verfasserin aut Ishikawa, Hirosuke verfasserin aut Saito, Seiji verfasserin aut Obata, Yasuo verfasserin aut Toge, Koji verfasserin aut Hirose, Yuki verfasserin aut Takizawa, Kazuyasu verfasserin (orcid)0000-0002-0422-5456 aut Sakata, Jun verfasserin aut Tasaki, Masayuki verfasserin aut Saito, Kazuhide verfasserin aut Nakajima, Yoriko verfasserin aut Matsuda, Ken verfasserin aut Tomita, Yoshihiko verfasserin aut Wakai, Toshifumi verfasserin (orcid)0000-0003-2443-3428 aut Enthalten in Transplantation proceedings Amsterdam [u.a.] : Elsevier Science, 1997 54 Online-Ressource (DE-627)306710870 (DE-600)1500785-6 (DE-576)082436088 1873-2623 nnns volume:54 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 54 |
allfieldsGer |
10.1016/j.transproceed.2021.09.076 doi (DE-627)ELV007620403 (ELSEVIER)S0041-1345(21)00918-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Miura, Kohei verfasserin aut Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. Kobayashi, Takashi verfasserin aut Ishikawa, Hirosuke verfasserin aut Saito, Seiji verfasserin aut Obata, Yasuo verfasserin aut Toge, Koji verfasserin aut Hirose, Yuki verfasserin aut Takizawa, Kazuyasu verfasserin (orcid)0000-0002-0422-5456 aut Sakata, Jun verfasserin aut Tasaki, Masayuki verfasserin aut Saito, Kazuhide verfasserin aut Nakajima, Yoriko verfasserin aut Matsuda, Ken verfasserin aut Tomita, Yoshihiko verfasserin aut Wakai, Toshifumi verfasserin (orcid)0000-0003-2443-3428 aut Enthalten in Transplantation proceedings Amsterdam [u.a.] : Elsevier Science, 1997 54 Online-Ressource (DE-627)306710870 (DE-600)1500785-6 (DE-576)082436088 1873-2623 nnns volume:54 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 54 |
allfieldsSound |
10.1016/j.transproceed.2021.09.076 doi (DE-627)ELV007620403 (ELSEVIER)S0041-1345(21)00918-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Miura, Kohei verfasserin aut Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. Kobayashi, Takashi verfasserin aut Ishikawa, Hirosuke verfasserin aut Saito, Seiji verfasserin aut Obata, Yasuo verfasserin aut Toge, Koji verfasserin aut Hirose, Yuki verfasserin aut Takizawa, Kazuyasu verfasserin (orcid)0000-0002-0422-5456 aut Sakata, Jun verfasserin aut Tasaki, Masayuki verfasserin aut Saito, Kazuhide verfasserin aut Nakajima, Yoriko verfasserin aut Matsuda, Ken verfasserin aut Tomita, Yoshihiko verfasserin aut Wakai, Toshifumi verfasserin (orcid)0000-0003-2443-3428 aut Enthalten in Transplantation proceedings Amsterdam [u.a.] : Elsevier Science, 1997 54 Online-Ressource (DE-627)306710870 (DE-600)1500785-6 (DE-576)082436088 1873-2623 nnns volume:54 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 54 |
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Miura, Kohei @@aut@@ Kobayashi, Takashi @@aut@@ Ishikawa, Hirosuke @@aut@@ Saito, Seiji @@aut@@ Obata, Yasuo @@aut@@ Toge, Koji @@aut@@ Hirose, Yuki @@aut@@ Takizawa, Kazuyasu @@aut@@ Sakata, Jun @@aut@@ Tasaki, Masayuki @@aut@@ Saito, Kazuhide @@aut@@ Nakajima, Yoriko @@aut@@ Matsuda, Ken @@aut@@ Tomita, Yoshihiko @@aut@@ Wakai, Toshifumi @@aut@@ |
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2021-01-01T00:00:00Z |
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Miura, Kohei ddc 610 bkl 44.65 Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report |
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610 DE-600 44.65 bkl Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report |
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Miura, Kohei Kobayashi, Takashi Ishikawa, Hirosuke Saito, Seiji Obata, Yasuo Toge, Koji Hirose, Yuki Takizawa, Kazuyasu Sakata, Jun Tasaki, Masayuki Saito, Kazuhide Nakajima, Yoriko Matsuda, Ken Tomita, Yoshihiko Wakai, Toshifumi |
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incisional hernia repaired using thigh muscle fascia after kidney transplantation: a case report |
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Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report |
abstract |
Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. |
abstractGer |
Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. |
abstract_unstemmed |
Background: Although monofilament mesh-based repair is a safe and effective procedure for incisional hernia (IH) in organ transplant patients, there is no definite evidence of IH treatment for patients with graft rejection and enhanced immunosuppressive therapy. We report a successful case of large IH repair using an autologous thigh muscle fascia sheet in a kidney transplant patient.Case Presentation: A 69-year-old man had IH from the incision of kidney transplantation, which was performed 6 years ago. He had a large right lower abdominal distension hanging down to the inguinal portion. A computed tomography scan revealed a large IH with a maximum abdominal defect diameter of 15 cm. The hernia sac contained the intestine, colon, and transplanted kidney, which had pulled out along with the retroperitoneum and protruded into the abdominal wall. He had chronic active acute antibody-mediated rejection, which required frequent steroid pulse therapy and additional or adjusted immunosuppressive drugs. After total circumferential exposure of the hernia sac and abdominal fascia, the abdominal wall defect was closed using a horizontal mattress suture. The sutured line was covered with a thigh muscle fascia sheet harvested from the patient's right femur and attached to the closed fascia. He was discharged on postoperative day 13 without any complications, and no IH recurrence was observed 10 months after surgery.Conclusions: Hernia repair using autologous tissue could be a treatment option for post-transplant IH with a higher risk of infection. |
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Incisional Hernia Repaired Using Thigh Muscle Fascia After Kidney Transplantation: A Case Report |
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Kobayashi, Takashi Ishikawa, Hirosuke Saito, Seiji Obata, Yasuo Toge, Koji Hirose, Yuki Takizawa, Kazuyasu Sakata, Jun Tasaki, Masayuki Saito, Kazuhide Nakajima, Yoriko Matsuda, Ken Tomita, Yoshihiko Wakai, Toshifumi |
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Kobayashi, Takashi Ishikawa, Hirosuke Saito, Seiji Obata, Yasuo Toge, Koji Hirose, Yuki Takizawa, Kazuyasu Sakata, Jun Tasaki, Masayuki Saito, Kazuhide Nakajima, Yoriko Matsuda, Ken Tomita, Yoshihiko Wakai, Toshifumi |
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score |
7.3992968 |