PDF(Pubmed)
Abstract：
OBJECTIVE: Intraoperative fascial traction (IFT) for the treatment of large ventral hernias and loss of domain (LOD) hernias is a promising tool in abdominal wall surgery. However, little is known about the extent of gain in myofascial advancement especially for the anterior rectus sheath. We, therefore, used a cadaveric model to determine the medialization during IFT.
METHODS: 4 fresh frozen specimens were used. Retromuscular preparation was carried out followed by IFT with diagonal vertical traction for 30 min. Medial advancement of the anterior rectus sheath was measured after 15 and 30 min as well as traction forces.
RESULTS: Total medialization for anterior rectus sheath after 30 min of IFT was 10.5 cm (mean). The mean traction force was 16.28 kg. Total medialization was significantly higher during the first 15 min of vertical fascial traction (p < 0.05).
CONCLUSIONS: IFT provides significant medialization for the anterior rectus sheath in the cadaveric model. The findings align with results from a retrospective case study. Therefore, we see IFT as a beneficial tool in abdominal wall surgery.
METHODS: 4 fresh frozen specimens were used. Retromuscular preparation was carried out followed by IFT with diagonal vertical traction for 30 min. Medial advancement of the anterior rectus sheath was measured after 15 and 30 min as well as traction forces.
RESULTS: Total medialization for anterior rectus sheath after 30 min of IFT was 10.5 cm (mean). The mean traction force was 16.28 kg. Total medialization was significantly higher during the first 15 min of vertical fascial traction (p < 0.05).
CONCLUSIONS: IFT provides significant medialization for the anterior rectus sheath in the cadaveric model. The findings align with results from a retrospective case study. Therefore, we see IFT as a beneficial tool in abdominal wall surgery.
摘要：
目的：术中筋膜牵引（IFT）治疗大型腹侧疝和网域缺失（LOD）疝是腹壁手术中一种有前途的工具。然而,关于肌筋膜前移的增加程度知之甚少，尤其是前直肌鞘。我们,因此,使用尸体模型来确定IFT过程中的中介。
方法：使用4份新鲜冷冻标本。进行肌肉后准备，然后通过对角线垂直牵引进行IFT30分钟。在15和30分钟以及牵引力后测量前直肌鞘的内侧前进。
结果：IFT30分钟后，前直肌鞘的总介质为10.5cm（平均）。平均牵引力为16.28kg。在垂直筋膜牵引的前15分钟内，总的内在化程度明显更高（p<0.05）。
结论：IFT为尸体模型中前直肌鞘提供了显着的中介作用。研究结果与回顾性案例研究的结果一致。因此,我们将IFT视为腹壁手术中的有益工具。
方法：使用4份新鲜冷冻标本。进行肌肉后准备，然后通过对角线垂直牵引进行IFT30分钟。在15和30分钟以及牵引力后测量前直肌鞘的内侧前进。
结果：IFT30分钟后，前直肌鞘的总介质为10.5cm（平均）。平均牵引力为16.28kg。在垂直筋膜牵引的前15分钟内，总的内在化程度明显更高（p<0.05）。
结论：IFT为尸体模型中前直肌鞘提供了显着的中介作用。研究结果与回顾性案例研究的结果一致。因此,我们将IFT视为腹壁手术中的有益工具。
