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Introduction: Abdominal hernias are a major public health problem, accounting for a significant number of operations. Aim: The aim of the study is to characterize the main epidemiologic, clinical and social aspects in patients with abdominal hernia treated at Santa Casa in Sao Paulo. Method: Patients from the outpatient surgery and the Emergency Service of Santa Casa de São Paulo were evaluated through a questionnaire that addressed the main epidemiological characteristics and aspects of hernias. Results: 62 patients were evaluated with a predominance of males and patients over 50 years. The inguinal hernia was the most common, being the most frequent bilateral inguinal hernia. Ten patients (16.1%) were incarcerated hernia. The intensity of pain was 6.1 ± 3.2 on a scale from zero through ten. The limitation caused by hernia was 5.1 + 3.4 in the range of zero through ten. The negative impact caused by the hernia on the scale of zero to ten was 5.8 + 3.5. Conclusion: There was a predominance of male patients and above 50 years, natural from Northeastern and other states. The most frequent was inguinal hernia, with a considerable number of complications. There was a negative impact on quality of life of these patients. [ABSTRACT FROM AUTHOR]

Hérnia tem sido um tema de interesse desde os pri-mordios da história e é uma das doenças mais antigas a receber tratamento cirúrgico. O tratamento das hérnias da regiäo ínguino-crural tem passado por uma dramáti-ca evoluçao nos últimos 25 anos. A incorporaçao de novas tecnologias, principalmente com o desenvolvimento de diferentes próteses, inau-gurou a era atual da cirurgia da hérnia, possibilitando um reparo sem tensao mesmo para grandes ou com-plexas hérnias. O sucesso da colecistectomia por vide-olaparoscopia impulsionou a partir da década de 1990, o desenvolvimento das técnicas videoendoscópicas para o tratamento das hérnias da regiao ínguino-cru-ral. Os autores descrevem os aspectos mais relevantes da evoluçao do tratamento cirúrgico das hérnias da regiao ínguino-crural, da antiguidade e seus mitos, ao moderno reparo livre de tensao e a era videoendos-cópica. [ABSTRACT FROM AUTHOR]

The abdominal wall represents the gateway to surgical procedures within coelomic cavity and a important access to retroperitoneal areas, therefore it's incision and suture is one of the most common surgical practices. Oncology surgeons frequently find extensive lesions that demands large resections of the abdominal wall and rebuilding it can be a challenge. We present here a case in witch the uterus was used as an alternative to abdominal wall's reconstruction. [ABSTRACT FROM AUTHOR]

Fundamentos: Doença de Bowen é um carcinoma espinocelular intraepidérmico do tórax de idosos. Motivo da comunicação: Caso exuberante em abdome inferior com áreas de pigmentação em transplantada renal. Relato: Paciente feminina branca, 53 anos, transplantada renal há dez anos evoluindo há 7 anos com placa de 8cm, irregular no tamanho e na cor, em dobra de quadrante inferior do abdome. Biopsia de pele revelou espinocelular in situ. Submetida à cirurgia com congelação intra-operatória evoluiu satisfatoriamente sem intercorrências ou novas lesões. Discussão: Os imunossuprimidos renais são grupo de risco para o desenvolvimento de espinocelulares que devem ser diferenciados de lesões cutâneas benignas, pré-malignas e malignas. Nesta paciente, as características da lesão, sua cor, tamanho e longa duração apontavam para a necessidade de avaliação dermatológica complementada com dermatoscopia e estudo histopatológico. A literatura é escassa em relação à associação de transplantados renais e o CEC in situ pigmentado em área não-exposta ao sol, como o abdome inferior dessa paciente. A dermatoscopia auxiliou na diferenciação com o melanoma. A congelação transoperatória aumentou a acurácia do diagnóstico e orientou a decisão cirúrgica mais adequada. Este caso mostra que o trabalho multidisciplinar integrado melhora a assistência global à saúde do imunossuprimido. [ABSTRACT FROM AUTHOR]

Introduction: diastasis of the rectus abdominis (DRAM) consists of a departure from the rectus abdominis muscle of the linea alba. Typically asymptomatic this deviation may vary from two to twenty Centimeters into muscle or part of its entire length. The DRAM is a frequent anatomical changes identified candidates for abdominoplasty. Abdominoplasty is a surgical technique that aims to remove excess skin and fat from the abdomen and in some cases rebuild the muscle wall, correcting the DRAM. Objectives: To conduct a literature review on the relationship between abdominoplasty and diastasis of the rectus abdominis. Methods: A literature review was conducted in electronic databases SciELO, PubMed, LILACS, from March to August 2016, using the descriptors abdominoplasty AND abdominal diastasis, abdominal plastic surgery AND diastasis, abdominoplasty AND rectus abdominis. The articles were read and analyzed their contents. 56 articles were found, of which only 17 were selected, including publications of the last six years, in which the abdominal diastasis correction technique has been addressed. Results: The findings allow us to infer that most of the studies (59%) reported that abdominoplasty is effective for surgical repair of abdominal diastasis. Some authors reported no relapse occurs. The most current techniques involve a minimum detachment of the abdominal wall. Conclusion: The articles pointed out that the abdominoplasty as a corrective factor of diastasis of the rectus abdominis. Abdominoplasty with rectus abdominis plication can strengthen the abdominal wall. [ABSTRACT FROM AUTHOR]