Management and repair strategies for abdominal perforations during abdominoplasty innovative techniques and clinical outcomes: a systematic review

Mateo D. F. Vera; Jose A. N. Peña; Jesús A. P. Párraga; José D. N. Moreno; Marco Ribadeneira; Juan P. N. Lara; Samuel F. V. Córdoba

doi:10.18203/2320-6012.ijrms20242227

Authors

Mateo D. F. Vera Medical Department, Universidad de las Américas, Ecuador https://orcid.org/0009-0003-4052-6162
Jose A. N. Peña Medical Department, Universidad Católica Santiago de Guayaquil, Ecuador
Jesús A. P. Párraga Medical Department, Ministerio de Salud Pública, Ecuador
José D. N. Moreno Department of General Surgery, Ministerio de Salud Pública, Ecuador
Marco Ribadeneira Medical Department, AP Medical Center, Ecuador
Juan P. N. Lara Medical Department, Universidad del Rosario, Colombia
Samuel F. V. Córdoba Medical Department, Universidad Surcolombiana, Colombia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20242227

Keywords:

Abdominal perforations, Abdominoplasty, Antimicrobial sutures, Drug-eluting sutures, Bioactive sutures, Stem cells

Abstract

Current suture advancements in abdominoplasty and abdominal perforation repair have enhanced surgical outcomes. Innovations include antimicrobial sutures, which use agents like triclosan and silver nanoparticles to reduce surgical site infections without compromising suture integrity. Drug-eluting sutures release therapeutic agents directly at the wound site promote healing and reducing the need for systemic medications. Bioactive sutures and those seeded with stem cells aid tissue regeneration promising confirmed success in complex surgeries. Smart sutures featuring shape-memory polymers and electronic sutures that monitor physiological parameters represent cutting-edge developments. Barbed sutures eliminate the need for knots, distribute tension evenly, and decrease operative time. Mesh repair techniques come with biocompatible materials enhancing tissue integration and reducing complications. Endoscopic and laparoscopic approaches augmented by artificial intelligence and have further refined abdominal perforation repairs and offer superior outcomes. Fibrin sealants and adhesives have also seen improvements in efficacy, safety, and biocompatibility, with advances in synthetic alternatives and bioactive formulations further enhancing surgical success.

Metrics

Metrics Loading ...

References

Facs AGM. Medscape Registration. Available at: https://emedicine.medscape.com/article/1271693-overview?form=fpf#a8. Accessed on 04 May 2024.

Mayo Clinic. Tummy tuck. 2022. Available at: https://www.mayoclinic.org/tests-procedures/ tummy-tuck/about/pac-20384892. Accessed on 04 May 2024.

Shestak KC, Rios L, Pollock TA, Aly A. Evidenced-Based Approach to Abdominoplasty Update. Aesth Surg J. 2018;39(6):628-42.

American Society of Plastic Surgeons. “Tummy Tuck” Complications—Study looks at rates and risk factors. American Society of Plastic Surgeons. 2015. Available at: https://www.plasticsurgery.org/news /press-releases/tummy-tuck-complications%E2% 80%94study-looks-at-rates-and-risk-factors. Accessed on 04 May 2024.

Chittoria RK, Reddy BP. Suture materials – Recent advances. Cosmoderma. 2023;3:175.

Russo Serafini M, Medeiros Savi F, Ren J, Bas O, O'Rourke N, Maher C, et al. The Patenting and Technological Trends in Hernia Mesh Implants. Tissue Eng Part B Rev. 2021;27(1):48-73.

Kumar A, FitzGerald J. Biologic versus Synthetic Mesh Reinforcement: What are the Pros and Cons? Clin Colon Rectal Surg. 2014;27(04):140-8.

Saiding Q, Chen Y, Wang J, Pereira CL, Sarmento B, Cui W, et al. Abdominal wall hernia repair: from prosthetic meshes to smart materials. Materials Today Bio. 2023;21:100691.

Gunasekaran G, Balaji VC, Paramsivam S. Comparative Study of Self-Gripping Mesh vs. Polypropylene Mesh in Lichtenstein’s Open Inguinal Hernioplasty. Curēus. 2023;17.

Biloslavo A, Mastronardi M, Sandano M, Gabrieli A, Troian M. Laparoscopic treatment for perforated gastroduodenal ulcer: direct repair surgical technique. Annals of Laparoscopic and Endosc Surg. 2023;8:22.

Guni A, Varma P, Zhang J, Fehervari M, Ashrafian H. Artificial Intelligence in Surgery: The Future is Now. Eur Surg Res. 2024;22.

Hamilton A. The future of artificial intelligence in surgery. Curēus. 2024;16(7):e63699.

East B, de Beaux AC. 7 Abdominal hernias. Core Topics in General and Emergency Surgery-E-Book: Companion to Specialist Surgical Practice. 2023;11:58.

Abello EF, Abiri A, Kuan EC. Evolution of synthetic graft materials and Dural sealants for cerebrospinal fluid leak repair. Cerebrospinal Fluid Rhinorrhea: Comprehensive Guide to Evaluation and Management. 2023;19:317.

Yu J, Qin Y, Yang Y, Zhao X, Zhang Z, Zhang Q, et al. Robust hydrogel adhesives for emergency rescue and gastric perforation repair. Bioactive Mat. 2023;19:703-16.

Sanz-Horta R, Matesanz A, Gallardo A, Reinecke H, Jorcano JL, Acedo P, et al. Technological advances in fibrin for tissue engineering. J Tissue Engineer. 2023;14:20417314231190288.

Guo Y, Cheng N, Sun H, Hou J, Zhang Y, Wang D, et al. Advances in the development and optimization strategies of the hemostatic biomaterials. Front Bioeng Biotechnol. 2023;10:1062676.

Indrakumar S, Dash TK, Mishra V, Tandon B, Chatterjee K. Silk Fibroin and Its Nanocomposites for Wound Care: A Comprehensive Review. ACS Polymers. 2024;29.

Li XF, Lu P, Jia HR, Li G, Zhu B, Wang X, et al. Emerging materials for hemostasis. Coordination Chem Rev. 2023;475:214823.

Al-Dwairi R, El-Elimat T, Aleshawi A, Al Sharie AH, Abu Mousa BM, Al Beiruti S, et al. Vitreous levels of vascular endothelial growth factor and platelet-derived growth factor in patients with proliferative Diabetic Retinopathy: a clinical correlation. Biomolecules. 2023;13(11):1630.

Yang Z, Chen L, Liu J, Zhuang H, Lin W, Li C, et al. Short peptide nanofiber biomaterials ameliorate local hemostatic capacity of surgical materials and intraoperative hemostatic applications in clinics. Advanced Materials. 2023;35(39):2301849.

Kulbay M, Wu KY, Truong D, Tran SD. Smart molecules in ophthalmology: Hydrogels as responsive systems for ophthalmic applications. Smart Mol. 2024;2(1):e20230021.

Credence Research. Fibrin sealants market Size, Growth & Forecast to 2032. 2024. Available at: https://www.credenceresearch.com/report/fibrin-sealant-market. Accessed on 04 May 2024.

Spotnitz WD. Fibrin sealant: Past, Present, and Future: A Brief review. World J Surg. 2009;34(4):632-4.

Shestak KC, Rios L, Pollock TA, Aly A. Evidenced-Based Approach to Abdominoplasty Update. Aesth Surg J. 2018;39(6):628-42.

Clemens MW, Downey S, Agullo F, Lehfeldt MR, Kind GM, Palladino H, et al. Clinical application of a silk fibroin protein biologic scaffold for abdominal wall fascial reinforcement. Plast Reconstr Surg Glob Open. 2014;2(11):e246.

Hoshino N, Endo H, Hida K, Kumamaru H, Hasegawa H, Ishigame T, et al. Laparoscopic surgery for acute diffuse peritonitis due to gastrointestinal perforation: A Nationwide Epidemiologic study using the National Clinical Database. Ann Gastroenterol Surg. 2021;6(3):430-44.

Nasr MW, Jabbour SF, Mhawej RI, Elkhoury JS, Sleilati FH. Effect of Tissue adhesives on seroma Incidence After Abdominoplasty: A Systematic Review and Meta-Analysis. Aesth Surg J. 2016;36(4):450-8.