Use of botulinum toxin as a preoperative adjuvant in incisional hernia repair performed using the Rives-Stoppa technique in a pediatric patient: a case report.
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| Title: | Use of botulinum toxin as a preoperative adjuvant in incisional hernia repair performed using the Rives-Stoppa technique in a pediatric patient: a case report. |
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| Alternate Title: | Uso de toxina botulínica como adyuvante prequirúrgico en reparación de hernia incisional realizada con técnica de Rives-Stoppa en un paciente pediátrico: reporte de caso. |
| Authors: | Quintero-Garzón, Paula Andrea1 pquinterog@unal.edu.co, Torres-Pulido, Jose Ricardo2, Escobar, Fernando Augusto2 |
| Source: | Revista Facultad de Medicina de la Universidad Nacional de Colombia. 2024, Vol. 72 Issue 1, p1-8. 8p. |
| Subjects: | HERNIA surgery, BOTULINUM toxin, BOTULINUM A toxins, CHILD patients, TISSUE adhesions, APPENDICITIS, VENTRAL hernia |
| Abstract (English): | Introduction. Although incisional hernia is a rare condition in pediatric patients, it is relevant because of its possible complications and esthetic and functional impact. Case presentation. A 14-year-old boy with a history of acute appendicitis with generalized peritonitis required multiple surgical interventions in July 2020 and was readmitted to the emergency department of a secondary care hospital located in the department of Boyacá (Colombia) two months later due to intestinal obstruction. Despite receiving conservative management, no improvement was observed, so he was referred to a university hospital located in Boyacá, where he underwent an exploratory laparoscopy after 7 days of treatment, during which lysis of abdominal adhesions and the resection of a segment of the intestine were performed. In October 2020, the patient was taken again to the emergency department due to intestinal obstruction, requiring surgical treatment (lysis of multiple peritoneal adhesions and abdominal adhesions in the proximal ileum). Six months later, during the second postoperative follow-up, an incisional hernia of 10cm in diameter was evidenced. Given the large size of the hernia and its characteristics, it was decided to repair it surgically using the Rives-Stoppa technique including the administration of botulinum toxin type A as a preoperative adjuvant, achieving the recovery of the abdominal wall anatomy without any complications. Conclusion. While currently there is no treatment of choice for the repair of incisional hernias in pediatric patients, the Rives-Stoppa technique is an effective and safe therapeutic option. Likewise, botulinum toxin type A has proven to be an effective preoperative adjuvant for reducing the risk of complications. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción. Si bien la hernia incisional es una condición poco frecuente en pacientes pediátricos, es relevante por sus posibles complicaciones e impacto estético y funcional. Presentación del caso. Niño de 14 años con antecedente de apendicitis aguda con peritonitis generalizada que en julio de 2020 requirió múltiples intervenciones quirúrgicas y quien dos meses después fue reingresado al servicio de urgencias de un hospital de segundo nivel del departamento de Boyacá (Colombia) por obstrucción intestinal, donde, a pesar de recibir manejo conservador, no se observó mejoría, por lo cual fue remitido a un hospital universitario de Boyacá, donde, luego de 7 días de manejo médico, fue llevado a laparoscopia exploratoria en la que se realizó lisis de adherencias abdominales y resección de un segmento del intestino. En octubre de 2020 fue llevado nuevamente al servicio de urgencias por obstrucción intestinal, requiriendo de nuevo manejo quirúrgico (lisis de múltiples adherencias peritoneales y adherencias abdominales en el íleon proximal). Durante el segundo control postoperatorio, 6 meses después, se evidenció hernia incisional de 10cm de diámetro. Dado el gran tamaño de la hernia y sus características, se decidió reparar quirúrgicamente con técnica de Rives-Stoppa con aplicación de toxina botulínica de tipo A como adyuvante prequirúrgico, logrando recuperación de la anatomía de la pared abdominal sin complicaciones. Conclusión. Si bien actualmente no hay un tratamiento de elección para la reparación de hernias incisionales en pacientes pediátricos, la técnica de Rives-Stoppa representa una opción terapéutica eficaz y segura. Igualmente, la toxina botulínica de tipo A demostró ser un adyuvante prequirúrgico efectivo para la reducción del riesgo de complicaciones. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 178687335 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Use of botulinum toxin as a preoperative adjuvant in incisional hernia repair performed using the Rives-Stoppa technique in a pediatric patient: a case report. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Uso de toxina botulínica como adyuvante prequirúrgico en reparación de hernia incisional realizada con técnica de Rives-Stoppa en un paciente pediátrico: reporte de caso. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Quintero-Garzón%2C+Paula+Andrea%22">Quintero-Garzón, Paula Andrea</searchLink><relatesTo>1</relatesTo><i> pquinterog@unal.edu.co</i><br /><searchLink fieldCode="AR" term="%22Torres-Pulido%2C+Jose+Ricardo%22">Torres-Pulido, Jose Ricardo</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Escobar%2C+Fernando+Augusto%22">Escobar, Fernando Augusto</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Facultad+de+Medicina+de+la+Universidad+Nacional+de+Colombia%22">Revista Facultad de Medicina de la Universidad Nacional de Colombia</searchLink>. 2024, Vol. 72 Issue 1, p1-8. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HERNIA+surgery%22">HERNIA surgery</searchLink><br /><searchLink fieldCode="DE" term="%22BOTULINUM+toxin%22">BOTULINUM toxin</searchLink><br /><searchLink fieldCode="DE" term="%22BOTULINUM+A+toxins%22">BOTULINUM A toxins</searchLink><br /><searchLink fieldCode="DE" term="%22CHILD+patients%22">CHILD patients</searchLink><br /><searchLink fieldCode="DE" term="%22TISSUE+adhesions%22">TISSUE adhesions</searchLink><br /><searchLink fieldCode="DE" term="%22APPENDICITIS%22">APPENDICITIS</searchLink><br /><searchLink fieldCode="DE" term="%22VENTRAL+hernia%22">VENTRAL hernia</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction. Although incisional hernia is a rare condition in pediatric patients, it is relevant because of its possible complications and esthetic and functional impact. Case presentation. A 14-year-old boy with a history of acute appendicitis with generalized peritonitis required multiple surgical interventions in July 2020 and was readmitted to the emergency department of a secondary care hospital located in the department of Boyacá (Colombia) two months later due to intestinal obstruction. Despite receiving conservative management, no improvement was observed, so he was referred to a university hospital located in Boyacá, where he underwent an exploratory laparoscopy after 7 days of treatment, during which lysis of abdominal adhesions and the resection of a segment of the intestine were performed. In October 2020, the patient was taken again to the emergency department due to intestinal obstruction, requiring surgical treatment (lysis of multiple peritoneal adhesions and abdominal adhesions in the proximal ileum). Six months later, during the second postoperative follow-up, an incisional hernia of 10cm in diameter was evidenced. Given the large size of the hernia and its characteristics, it was decided to repair it surgically using the Rives-Stoppa technique including the administration of botulinum toxin type A as a preoperative adjuvant, achieving the recovery of the abdominal wall anatomy without any complications. Conclusion. While currently there is no treatment of choice for the repair of incisional hernias in pediatric patients, the Rives-Stoppa technique is an effective and safe therapeutic option. Likewise, botulinum toxin type A has proven to be an effective preoperative adjuvant for reducing the risk of complications. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción. Si bien la hernia incisional es una condición poco frecuente en pacientes pediátricos, es relevante por sus posibles complicaciones e impacto estético y funcional. Presentación del caso. Niño de 14 años con antecedente de apendicitis aguda con peritonitis generalizada que en julio de 2020 requirió múltiples intervenciones quirúrgicas y quien dos meses después fue reingresado al servicio de urgencias de un hospital de segundo nivel del departamento de Boyacá (Colombia) por obstrucción intestinal, donde, a pesar de recibir manejo conservador, no se observó mejoría, por lo cual fue remitido a un hospital universitario de Boyacá, donde, luego de 7 días de manejo médico, fue llevado a laparoscopia exploratoria en la que se realizó lisis de adherencias abdominales y resección de un segmento del intestino. En octubre de 2020 fue llevado nuevamente al servicio de urgencias por obstrucción intestinal, requiriendo de nuevo manejo quirúrgico (lisis de múltiples adherencias peritoneales y adherencias abdominales en el íleon proximal). Durante el segundo control postoperatorio, 6 meses después, se evidenció hernia incisional de 10cm de diámetro. Dado el gran tamaño de la hernia y sus características, se decidió reparar quirúrgicamente con técnica de Rives-Stoppa con aplicación de toxina botulínica de tipo A como adyuvante prequirúrgico, logrando recuperación de la anatomía de la pared abdominal sin complicaciones. Conclusión. Si bien actualmente no hay un tratamiento de elección para la reparación de hernias incisionales en pacientes pediátricos, la técnica de Rives-Stoppa representa una opción terapéutica eficaz y segura. Igualmente, la toxina botulínica de tipo A demostró ser un adyuvante prequirúrgico efectivo para la reducción del riesgo de complicaciones. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.15446/revfacmed.v72n1.107644 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 1 Subjects: – SubjectFull: HERNIA surgery Type: general – SubjectFull: BOTULINUM toxin Type: general – SubjectFull: BOTULINUM A toxins Type: general – SubjectFull: CHILD patients Type: general – SubjectFull: TISSUE adhesions Type: general – SubjectFull: APPENDICITIS Type: general – SubjectFull: VENTRAL hernia Type: general Titles: – TitleFull: Use of botulinum toxin as a preoperative adjuvant in incisional hernia repair performed using the Rives-Stoppa technique in a pediatric patient: a case report. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Quintero-Garzón, Paula Andrea – PersonEntity: Name: NameFull: Torres-Pulido, Jose Ricardo – PersonEntity: Name: NameFull: Escobar, Fernando Augusto IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: 2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 01200011 Numbering: – Type: volume Value: 72 – Type: issue Value: 1 Titles: – TitleFull: Revista Facultad de Medicina de la Universidad Nacional de Colombia Type: main |
| ResultId | 1 |
