ALLANA CHRISTINA FORTUNATO MACIEL

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LIM/37 - Laboratório de Transplante e Cirurgia de Fígado, Hospital das Clínicas, Faculdade de Medicina

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  • article 3 Citação(ões) na Scopus
    Techniques for Closing the Abdominal Wall in Intestinal and Multivisceral Transplantation: A Systematic Review
    (2022) FORTUNATO, Allana C.; PINHEIRO, Rafael S.; MATSUMOTO, Cal S.; ARANTES, Rubens M.; ROCHA-SANTOS, Vinicius; NACIF, Lucas S.; WAISBERG, Daniel R.; DUCATTI, Liliana; MARTINO, Rodrigo B.; CARNEIRO-D'ALBUQUERQUE, Luiz; ANDRAUS, Wellington
    Short bowel syndrome is the most common etiology of intestinal failure, resulting from either resections of different intestinal segments or a congenital condition. Due to the absence or considerable reduction of intes-tinal loops in the abdominal cavity, patients with short bowel syndrome present with atrophy and muscle re-traction of the abdominal wall, which leads to loss of abdominal domain and elasticity. This complication is an aggravating factor of intestinal transplantation since it can prevent the primary closure of the abdominal wall. A vast array of surgical techniques to overcome the challenges of the complexity of the abdominal wall have been described in the literature. The aim of our study was to review the modalities of abdominal wall closure in intestinal/multivisceral transplantation. Our study consisted of a systematic review following the methodological instructions described in the PRISMA guidelines. Duplicate studies and studies that did not meet the criteria for the systematic review were exclud-ed, especially those without relevance and an explicit relationship with the investigated theme. After this step, 63 articles were included in our study. The results obtained with these techniques have been encouraging, but a high incidence of wound complica-tions in some reports has raised concerns. There is no consensus among transplantation centers regarding which technique would be ideal and with high-er success rates and lower rates of complications.