Abdominal wall closure after selective aponeurotic incision and undermining.

摘要: The tension required to pull the anterior and posterior rectus sheaths toward midline was studied in 20 fresh cadavers at two levels: 3 cm above 2 below umbilicus. quotient of force used mobilize aponeurotic site its resulting displacement called traction index. These indices were compared three situations: (1) prior any undermining, (2) after incision sheath undermining muscle from sheath, (3) additionally releasing external oblique muscle. A significant decrease resistance observed each dissection. showed higher with on both levels. No statistical difference noted comparison values aponeurosis results suggest that these procedures are effective assisting closure abdominal wall defects because maneuvers substantially for advancement edges.