Preoperative Ultrasound-Guided Botulinum Toxin A Injection Facilitates Closure of a Complex Abdominal Wall Hernia: A Case Report.

A&A practice 2019 Vol.13(5) p. 193-196

Tamboli M, Kitamura R, Ma W, Kumar G, Harrison TK, Wang RR, Mariano ER, Leng JC

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Abstract

Complex abdominal wall hernia repairs can have high failure rates. Many surgical techniques have been proposed with variable success. We report our experience with a new collaborative protocol between general surgery and regional anesthesiology and acute pain medicine services to provide preoperative botulinum toxin A injections to a patient with a large complex ventral hernia to facilitate primary closure. Toxin was administered into the 3 abdominal wall muscle layers under ultrasound guidance at multiple sites 2 weeks before surgery. The resulting flaccid paralysis of the abdominal musculature facilitated a successful primary surgical closure with no postoperative complications.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 2

MeSH Terms

Abdominal Wound Closure Techniques; Botulinum Toxins, Type A; Female; Hernia, Ventral; Humans; Injections, Intramuscular; Middle Aged; Preoperative Care; Treatment Outcome; Ultrasonography, Interventional

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