Volumetry after botulinum toxin A: the impact on abdominal wall compliance and endotracheal pressure

Purpose Botulinum toxin type A (BTA) is an adjuvant tool used in the preoperative optimization of complex hernias before abdominal wall reconstruction (AWR). This study aims to investigate changes in the abdominal cavity and hernia sac dimensions after BTA application. Method A prospective study wit...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2024-02, Vol.28 (1), p.53-61
Main Authors: Amaral, P. H. F., Macret, J. Z., Dias, E. R. M., Carvalho, J. P. V., Pivetta, L. G. A., Ribeiro, H. B., Franciss, M. Y., Silva, R. A., Malheiros, C. A., Roll, S.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Muscles - surgery
Abdominal Surgery
Abdominal wall
Abdominal Wall - diagnostic imaging
Abdominal Wall - surgery
Botulinum toxin
Botulinum toxin type A
Botulinum Toxins, Type A
Computed tomography
Hernia
Hernia, Ventral - surgery
Hernias
Herniorrhaphy - methods
Humans
Medicine
Medicine & Public Health
Morbidity
Original Article
Prospective Studies
Recurrence
Surgical Mesh
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Summary:Purpose Botulinum toxin type A (BTA) is an adjuvant tool used in the preoperative optimization of complex hernias before abdominal wall reconstruction (AWR). This study aims to investigate changes in the abdominal cavity and hernia sac dimensions after BTA application. Method A prospective study with 27 patients with a hernia defect of ≥ 10 cm and loss of domain (LOD) ≥ 20% underwent AWR. Computed tomography (CT) measurements and volumetry before and after the application of BTA were performed. Intraoperative and postoperative outcomes were evaluated. Results Imaging post-BTA revealed hernia width reduction of 1.9 cm ( p  = 0.002), lateral abdominal wall muscle elongation of 3.1 cm ( p  
ISSN:1248-9204
1265-4906
1248-9204
DOI:10.1007/s10029-023-02848-2