Circumferential cutaneous traction for exposure of the layers of the abdominal wall

Sugarbaker, Paul H.

doi:10.1002/jso.21138

Cited by 13 publications

(3 citation statements)

References 5 publications

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“…March 31, 2017: A nine-hour cytoreductive surgical procedure with HIPEC was performed. A midline abdominal incision was made with skin tabs so that the umbilicus could be reconstructed [8] . There was a mesothelioma nodule within the umbilicus requiring the umbilicus to be resected.…”

Section: Methodsmentioning

confidence: 99%

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Peritonectomy of the colonic mesentery. Case report of a new surgical technology

Sugarbaker¹

2021

International Journal of Surgery Case Reports

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Introduction and importance Malignant peritoneal mesothelioma is a local-regional disease process that requires a comprehensive treatment plan including complete cytoreductive surgery and regional chemotherapy. Case presentation Treatments used in our patient began with a complete cytoreductive surgery. This required visceral resections, parietal peritonectomy, peritonectomy of the small bowel and its mesentery, and a peritoneal resection of the colonic mesentery with sparing of the major vasculature of the large bowel. Clinical discussion Peritoneal resection of the colonic mesentery and other treatments were performed in the absence of major complications. A 20-day hospitalization was required. The patient shows no internal hernias and no evidence of disease by CT follow-up at 4 years postoperatively. Her quality of life is excellent. Conclusions Malignant peritoneal mesothelioma was in the past a disease of limited survival without effective treatment options. Peritoneal resection of the colonic mesentery may be required for complete cytoreduction. A sequence of cytoreductive surgical procedures and regional chemotherapy treatments has made long-term survival possible.

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Section: Methodsmentioning

confidence: 99%

“…There was a mesothelioma nodule within the umbilicus requiring the umbilicus to be resected. Skin traction sutures were used [8] . The preperitoneal fat above the bladder, the umbilicus, a small midline hernia in the mid-epigastrium, the falciform ligament and the epigastric fat pad were all removed.…”

Section: Methodsmentioning

confidence: 99%

Peritonectomy of the colonic mesentery. Case report of a new surgical technology

Sugarbaker¹

2021

International Journal of Surgery Case Reports

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“…He was taken to the operating room with plans for exploratory laparotomy with possible complete cytoreductive surgery and perioperative intraperitoneal chemotherapy with curative intent [5,6]. The prior umbilical repair site was resected through a long midline incision using traction sutures [7]. The abdomen and pelvis including the small bowel and its mesentery was layered by mucinous adenocarcinoma and the possibility of surgically clearing small bowel of cancer was absent [8].…”

Section: Patient Presentationmentioning

confidence: 99%

Peritoneal carcinomatosis of unknown primary site may be an undiagnosed appendiceal adenocarcinoma. A case series

Sugarbaker

2019

International Journal of Surgery Case Reports

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HighlightsPeritoneal carcinomatosis from unknown primary site must be a diagnosis of exclusion.Peritoneal metastases in the absence of a primary site by definitive radiologic and endoscopic tests does occur.An occult appendiceal adenocarcinoma may be the cause of the peritoneal carcinomatosis.Visualization of a normal appendix by exploratory laparotomy or laparoscopy is a new requirement for the diagnosis.

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Cytoreductive Surgery and Intraperitoneal Chemotherapy for Treatment of Malignant Peritoneal Mesothelioma

Sugarbaker

2019

Caring for Patients With Mesothelioma: Principles and Guidelines

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Circumferential cutaneous traction for exposure of the layers of the abdominal wall

Abstract: Circumferential cutaneous traction allows strong anterior traction that spreads out the layers of the abdominal wall to expose these structures more adequately.

Cited by 13 publications

References 5 publications

Peritonectomy of the colonic mesentery. Case report of a new surgical technology

Peritonectomy of the colonic mesentery. Case report of a new surgical technology

Peritoneal carcinomatosis of unknown primary site may be an undiagnosed appendiceal adenocarcinoma. A case series

Cytoreductive Surgery and Intraperitoneal Chemotherapy for Treatment of Malignant Peritoneal Mesothelioma

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