P-029 USE OF INTRAOPERATIVE FASCIAL TRACTION DEVICE (FASCIOTENS®). INITIAL EXPERIENCE IN A WALL SURGERY UNIT

Abstract Aim We present the use of Fasciotens-abdomen® fascial traction device for closure large eventrations in three patients treated our department. Material & Methods Description cases eventration which we used device. Results The first patient is a 61-year-old woman with history anterior ultra-low rectal resection. She presents an M2-M4W3 10 cm eventration. A Rives eventroplasty was performed placement 25×10cm retromuscular PPL mesh. applied 14–16 kg load during 25 minutes. second case 45-year-old female previous umbilical hernioplasty 2016. M2-M4W3R1 11 During eventroplasty, approach minutes/14–16 kg, and mesh 22×11 placed onlay. Thirdly, 60-year-old 2015. presented M2-M3W3 14 70 small bowel were resected due to firm adhesions. approximation Fasciotens-abdomen®, minutes/14kg. All received infiltration 15 IU botulinum toxin weeks before reconstruction surgery discharged from hospital uneventflul. Conclusions Large incisional hernias pose challenge surgeon. Adjunctive procedures abdominal wall reconstruction, like Fasciotens®fascial device, help achieve tension-free midline closure.