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Published byVera Osojnik Modified over 6 years ago
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The encircling mesh in abdominal wall surgery: rationale and technical details of a dorso-ventral physiological restoration B Palmieri, S Grappolini, G Benuzzi British Journal of Plastic Surgery Volume 57, Issue 3, Pages (April 2004) DOI: /j.bjps
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Graphic 1 Case selection for ‘round mesh’ procedure: (A) Laparocoele; (B) Wide umbilical hernia and abdominal muscle weakening with previous unsuccessful classic abdominoplasty; (C) Abdominal and synchronous inguinal hernia in patients performing heavy works; (D) Abdominal wall metastatic tumor; (E) Recti muscles diastasis and ventral hypotonia in pluriparous, overweight women; (F) Severe weight loss and muscle relaxation after open or laparoscopic bariatric surgery; (G) Aesthetic abdominoplasty in pluriparous (one or more caesarean sections) non-obese women. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Graphic 2 Main symptoms enclosed for ‘round mesh’ eligibility: (A) Lumbar pain on prolonged standing; (B) Impairment of squatting-uplifting movements; (C) Bilateral and (D) unilateral lombosciatalgia; (E) Pain due to trunk bending and rotating; (F) Pain due to arm lifting and tiptoeing walking. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Figure 1 Intraoperative steps: (A) drawing of the round mesh; (B) disposable introducer with removable tip: the mesh is plicated and introduced into the lumen, to be passed across the spine; (C) lateral view of the access for the mesh introduction; (D) introducer output into the operative field, contralaterally to the flank access; (E) criss-crossed expansion of the mesh above the ventral fascia; (F) periosteal unabsorbable stitches to fix anteriorly the ‘round mesh’. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Figure 2 Pre (A and B) and post (C and D) frontal and lateral view of operated patients. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Figure 3 Pre (A and B) and post (C and D) frontal and lateral view of operated patients. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Graphic 3 Overlapping agreement between doctors and patients as to functional and cosmetic outcome of the ‘round mesh’. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Graphic 4 Overlapping agreement between doctors and patients as to functional and cosmetic outcome of the ‘round mesh’. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Figure 4 Sample of pre (blue) and postoperative (red) change of the ‘Centre of Pressure’ (CoP) measured by optoelectronic system: the gravity centre of the body is shifted forward. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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