<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282022000200167</article-id>
<article-id pub-id-type="doi">10.29315/gm.v9i2.591</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A Separação de Componentes no Tratamento de Hérnia Incisional Associada a Diástase dos Retos Abdominais: Caso Clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[The Separation of Anatomical Components in the Treatment of the Incisional Hernia with Associated Abdominal Rectus Muscle Diastasis: A Case Report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Daniel]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vicente]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital CUF Viseu Serviço de Cirurgia Geral ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>167</fpage>
<lpage>172</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282022000200167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282022000200167&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282022000200167&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A hérnia incisional é uma sequela tardia possível de ocorrer em qualquer lesão ou incisão na parede abdominal, com uma incidência de 10% a 15%. A coexistência de uma diástase dos músculos retos abdominais com uma hérnia incisional da linha média abdominal altera a dinâmica muscular da parede abdominal e é um desafio terapêutico para qualquer cirurgião. Estudos prospetivos recentes recomendam a correção destas duas condições. Se apenas o defeito herniário for corrigido, sem correção da diástase, há uma grande probabilidade de recorrência herniária a médio e longo prazo. Os autores descrevem um caso de uma volumosa hérnia incisional, após uma laparotomia xifopúbica num homem de 63 anos que apresentava também uma diástase dos retos abdominais e que foi submetido à correção dos 2 defeitos pela técnica de separação dos componentes abdominais, reforçada com colocação de uma prótese de polipropileno. Fazem-se breves considerações a esta técnica que permite o encerramento dos grandes defeitos da linha média com tecidos nativos, e os seus resultados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The incisional hernia is a late occurring sequel, that may present itself in any lesion or incision on the abdominal wall, with an incidence of 10% to 15%. The coexistence of diastasis of the abdominal rectus muscles with incisional hernia of the abdominal midline, changes the muscular dynamics of the abdominal wall, and is a therapeutic challenge for any surgeon. Recent prospective studies recommend the correction of these two conditions. If only the hernial defect is corrected, without correction of the diastasis, there is great probability of hernial recurrence in the mid to long term. The authors describe the case of a large incisional hernia, after a xiphopubic laparotomy of a 63-year-old male who also presented diastasis of the abdominal rectus muscles, and who underwent correction of both conditions by using the abdominal components separation technique, reinforced with the placement of a polypropylene prosthetic. Brief considerations are made about this technique, which allows for the closing of large defects of the midline with native tissue, and their respective results.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hérnia Ventral/cirurgia]]></kwd>
<kwd lng="pt"><![CDATA[Herniorrafia/métodos]]></kwd>
<kwd lng="pt"><![CDATA[Procedimentos Cirúrgicos Eletivos]]></kwd>
<kwd lng="pt"><![CDATA[Telas Cirúrgicas]]></kwd>
<kwd lng="en"><![CDATA[Elective Surgical Procedures]]></kwd>
<kwd lng="en"><![CDATA[Hernia, Ventral/surgery]]></kwd>
<kwd lng="en"><![CDATA[Herniorrhaphy/methods]]></kwd>
<kwd lng="en"><![CDATA[Surgical Mesh]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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