Comparative Study Between Tissues Induced Immunohistochemical Changes of Thread Granulomas and Textile Allografts

Chicea, Radu; Chicea, Anca Lucia; Miheţiu, Alin; Tantar, Cristian; Mitariu, Mihaela Maria Cernusca; Mitariu, Sebastian Ioan Cernusca; Roman, Corina; Comăneanu, Raluca Monica; Bratu, Dan; Manea, Mirela

doi:10.37358/mp.18.1.4972

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…Propofol was used for induction and maintenance. One of its main advantages is the ease and speed with which the patient wakes up, and also a low incidence of postoperative nausea and vomiting (8)(9)(10).…”

Section: Methodsmentioning

confidence: 99%

“…shown that there is a large difference in the inflammatory capacity of the alloplastic material used, which is influenced by the density of the mesh (14). The presence of smaller holes than 1 mm in the mesh, produces more pronounced inflammation and fibrosis, while larger holes give less fibrotic reaction, lack of keloid scar and conserved the elasticity of the inguinal region (1,8,(14)(15)(16)(17).…”

Section: Clinical Studies and Animal Experiments Havementioning

confidence: 99%

See 1 more Smart Citation

Day-case Surgery in the Context of Inguinal Hernia Repair by the Modified Lichtenstein Technique - A Single Centre Experience

Tănăsescu¹,

Faur²,

Sabău³

2019

chr

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Existenţa unui mare numãr de tehnici chirurgicale descrise pentru cura herniei inghinale practicate şi publicate în diferite articole şi tratate, provoacă o adevarată confuzie asupra chirurgului tânăr, care se vede nevoit de cele mai multe ori să practice tehnica dobândită în clinica în care îşi face rezidenţiatul, defapt cea pe care a văzut-o de cele mai multe ori. De asemenea anatomia regiunii inghinale a suscitat numeroase interpretări datorită dispunerii spaţiale, în trei planuri a elementelor, precum şi datorită necesităţii obţinerii din punct de vedere chirurgical a unor structuri de rezistenţă cu înaltă valoare funcţional. Studiul retrospectiv a fost realizat în cadrul Clinicii Proctoven din Sibiu, pe o perioadă de 5 ani. Au fost evaluaţi 219 pacienţi cu diagnosticul de hernie inghinală, operaţi prin tehnica chirurgicală Lichtenstein, între martie 2011 şi martie 2016. Tehnica Lichtenstein este considerată a fi extrem de bine tolerată de pacienţi, spitalizarea mai puţin de 3 ore constituind un alt avantaj, şi totodată dispune de rezultate satisfăcătoare atât de scurtă cât şi de lungă durată.Cuvinte cheie: hernie inghinală, tehnica Lichtenstein modificată, chirurgie de o zi, anestezie locală, anestezie intravenoasă, conceptul de Fast-track

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Section: Methodsmentioning

confidence: 99%

Section: Clinical Studies and Animal Experiments Havementioning

confidence: 99%

Day-case Surgery in the Context of Inguinal Hernia Repair by the Modified Lichtenstein Technique - A Single Centre Experience

Tănăsescu¹,

Faur²,

Sabău³

2019

chr

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“…The laparoscopic approach to these hydatid localizations is less common (17.5% of cases) and more frequently employed in the tail of pancreas localizations. This approach offers significant benefits over open surgery, which typically involves extensive incisions, such as median or subcostal laparotomies, predisposing patients to wound infections, foreign body reactions such as seromas and granulomas, and incisional hernias [ 44 ].…”

Section: Reviewmentioning

confidence: 99%

Primary Hydatid Cyst of the Pancreas: A Literature Review on a Rare and Challenging Occurrence of Echinococcosis

Mihetiu,

Bratu,

Sabau

et al. 2024

Cureus

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Hydatid disease is caused by the Echinococcus tapeworm and is a zoonosis that endemically affects certain geographic areas with a high prevalence in animal husbandry. Due to globalization, the pathology can also be encountered beyond these preferred geographic areas. It predominantly affects the liver and lungs, with pancreatic localizations of hydatid cysts being rare and posing a challenge for differential diagnosis and surgical tactics. The present study aimed to provide a recent scoping of the literature on this type of localization, analyzing demographic data, therapeutic management, and postoperative outcomes. It was observed that females are more frequently affected in pancreatic hydatid localizations (p < 0.001), with the most common symptomatology represented by abdominal pain. The preferred localization was at the level of the pancreatic tail (32.5%), followed by cephalic localizations (25%). The preferred surgical approach was open surgery, with an observed preference for open surgery in specific localizations, such as the head, isthmus, and body of the pancreas (p < 0.001). Radical procedures are more commonly used than conservative ones (52.5% vs. 47.5%), and paradoxically, although less invasive, procedures such as inactivation and drainage are associated with more frequent complications (p = 0.03). This type of localization, due to the elements of local anatomical topography, requires adequate preparation in biliopancreatic surgery, considering that sometimes preoperative diagnosis is not oriented, and intraoperative records may require extensive interventions. Our research encompassed a thorough review of literature spanning the last decade using PubMed and Google Scholar databases, focusing specifically on cases involving primary hydatid cysts found within the pancreas. Thirty-three relevant articles were published between 2014 and 2024. In addition, we presented a unique case study that illustrates this uncommon occurrence.

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“…The mesh with large pores and low weight was employed as there was low contact between the allograft and the body's own tissues, which led to improved acceptance of the alloplastic material by the host organism. The presence of small holes in the mesh (<1 mm) pronounced the inflammatory process and fibrosis, while larger holes provided less fibrotic reaction, and conserved the elasticity of the inguinal region and lack of keloid scar (15)(16)(17).…”

Section: Distribution Of Patients With Postoperative Complicationsmentioning

confidence: 99%

The use of polypropylene mesh in inguinal hernia surgery: A retrospective study

et al. 2021

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Previously, inguinal hernia surgery was based exclusively on repairing the abdominal wall defects using the patient's own tissues, which were put in contact with and tensioned to recalibrate the natural orifices. At present, inguinal hernia surgery is based almost solely on mounting an allograft, which has the role of strengthening the weakened groin region that allowed the herniation. This modern method of operation on inguinal hernia can be performed in a classic or laparoscopic manner. The mesh is made of polypropylene, which is a polymer of cyclic hydrocarbons. The aim of the present study was to evaluate the effectiveness, biocompatibility, as well as the immediate and long-term complications in textile allografts used in open surgery of inguinal hernia repair. Another aim was to demonstrate once again the superiority of low-weight meshes with large pores by decreasing the number of complications caused by the synthetic material used, but also by a decrease in the tension on the tissues to which it was fixed. The present study included 255 cases submitted to inguinal hernia surgery. Only 1.5% required immediate reinter vention before discharge to evacuate hematoma. The short duration of hospitalization, the quality-price ratio, the good postoperative results, as well as the rapid socio-professional reintegration, render the use of polypropylene mesh in inguinal hernia surgery very attractive for patients.

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Comparative Study Between Tissues Induced Immunohistochemical Changes of Thread Granulomas and Textile Allografts

Cited by 5 publications

References 2 publications

Day-case Surgery in the Context of Inguinal Hernia Repair by the Modified Lichtenstein Technique - A Single Centre Experience

Day-case Surgery in the Context of Inguinal Hernia Repair by the Modified Lichtenstein Technique - A Single Centre Experience

Primary Hydatid Cyst of the Pancreas: A Literature Review on a Rare and Challenging Occurrence of Echinococcosis

The use of polypropylene mesh in inguinal hernia surgery: A retrospective study

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