Reparação da parede abdominal com membranas acelulares de pericárdio bovino - Parte I - Achados clínicos e radiológicos

▪ RESUMO

Introdução:

Reduzindo os índices de recidiva de forma impactante, o emprego de biomateriais como “telas de reforço” na reparação de diferentes defeitos da parede abdominal tornou-se rotina quase obrigatória para o sucesso dessas reparações. A partir da década de 1990 houve a introdução de matrizes biológicas acelulares, iniciando-se assim uma nova era na reparação dos defeitos da parede abdominal. O objetivo é avaliar a funcionalidade do pericárdio bovino acelularizado em reparações da parede abdominal.

Método:

Trinta pacientes foram submetidos a reparação de defeitos da parede abdominal, com biopróteses acelulares de pericárdio bovino, perfazendo um total de 40 implantes anatomicamente individualizados. O seguimento médio foi de 31 meses, sendo os pacientes avaliados clinicamente e radiologicamente. Em três casos foram feitas biópsias das áreas implantadas permitindo análise histológica do material.

Resultados:

Não se observou recidiva das herniações em nenhum dos casos, tanto clinica como radiologicamente. Também não houve registro de hematomas, infecções ou qualquer fenômeno de natureza reacional local ou sistêmica. Radiologicamente, não foi possível visualizar as matrizes no local de implantação em qualquer dos períodos de pós-operatório analisados.

Conclusão:

As matrizes mostraram similaridade às demais membranas biológicas descritas na literatura internacional. Representando uma importante atualização e evolução conceitual, as membranas acelulares de pericárdio bovino podem ser incorporadas ao arsenal terapêutico nas reparações de parede abdominal.

Descritores:

Próteses e implantes - Hérnia abdominal - Telas cirúrgicas - Matriz extracelular - Parede abdominal - Bioprótese - Pericárdio

Instituição: Hospital Estadual João Paulo II, Sociedade Portuguesa de Beneficência de São José do Rio Preto, Hospital do Coração de São José do Rio Preto, São José do Rio Preto, SP, Brasil.

Publikationsverlauf

Eingereicht: 14. März 2023

Angenommen: 23. Oktober 2023

Artikel online veröffentlicht:
20. Mai 2025

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