{"id":23,"date":"2022-01-26T11:42:43","date_gmt":"2022-01-26T11:42:43","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/?p=23"},"modified":"2022-02-02T13:33:27","modified_gmt":"2022-02-02T13:33:27","slug":"eventracio","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/eventracio\/","title":{"rendered":"L&#8217;eventraci\u00f3: Qu\u00e8 \u00e9s? Quines s\u00f3n les seves causes i tractament?"},"content":{"rendered":"<p><span class=\"notranslate\">Una\u00a0<strong>eventraci\u00f3<\/strong>\u00a0o\u00a0<strong>h\u00e8rnia incisional<\/strong>\u00a0\u00e9s el resultat d&#8217;una mala cicatritzaci\u00f3 d&#8217;una incisi\u00f3 (tall) realitzada a la\u00a0<strong>paret abdominal<\/strong>\u00a0durant una intervenci\u00f3 quir\u00fargica.<\/span>\u00a0<span class=\"notranslate\">El resultat \u00e9s un defecte (forat) en la mateixa per on pot sortir contingut abdominal (nanses intestinals) causant obstruccions, dolor i, en els casos m\u00e9s greus,\u00a0<strong>necrosi intestinal.<\/strong><\/span><\/p>\n<p><span id=\"more-1\"><\/span><!--more--><\/p>\n<div class=\"destacat-site\">\n<p style=\"padding-left: 30px;\"><small><b>\u00cdNDEX:<\/b><\/small><\/p>\n<p style=\"padding-left: 30px;\"><small><a href=\"#causes-eventracion\">&#8211;\u00a0Causes de l&#8217;eventraci\u00f3<\/a><\/small><br \/>\n<small><a href=\"#tractament-eventracio\">&#8211; Tractament de l&#8217;eventraci\u00f3n<\/a><\/small><br \/>\n<small><a href=\"#cirurgia-eventracio\">\u00b7\u00a0Cirurgia de l&#8217;eventraci\u00f3: oberta vs laparosc\u00f2pica<\/a><\/small><br \/>\n<small><a href=\"#recidiva-eventracio\">&#8211; Recidiva d&#8217;una eventraci\u00f3<\/a><\/small><br \/>\n<small><a href=\"#evitar-recidiva-eventracio\">\u00b7 Com evitar una recidiva?<\/a><\/small><br \/>\n<small><a href=\"#tractament-recidiva-eventracio\">\u00b7 Tractament d&#8217;una eventraci\u00f3 recidiva\u00a0<\/a><\/small><\/p>\n<\/div>\n<div id=\"causes-eventracio\"><\/div>\n<h2><span class=\"notranslate\">CAUSES DE L&#8217;EVENTRACI\u00d3<\/span><\/h2>\n<p><span class=\"notranslate\">Hi ha diverses causes de\u00a0l&#8217;<strong>eventraci\u00f3<\/strong>\u00a0i poden dependre del pacient, de la pr\u00f2pia intervenci\u00f3 quir\u00fargica, o del cirurgi\u00e0.<\/span><\/p>\n<ul>\n<li class=\"first last\">\n<h5><span class=\"notranslate\">Causes relatives al pacient<\/span><\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">Pel que fa al pacient, hi ha circumst\u00e0ncies que poden dificultar la correcta cicatritzaci\u00f3 de la ferida quir\u00fargica:\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/especialitats\/67\/obesidad\" target=\"_blank\" rel=\"noopener noreferrer\">obesitat<\/a>\u00a0, mala\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/ca\/\" target=\"_blank\" rel=\"noopener noreferrer\">nutrici\u00f3<\/a>\u00a0, d\u00e8ficits d&#8217;alguna vitamina, malalties del col\u00b7lagen (prote\u00efna encarregada de &#8220;fabricar&#8221; la cicatriu), tractaments amb corticoides i immunosupressors, &#8230;<\/span><\/p>\n<ul>\n<li class=\"first last\">\n<h5><span class=\"notranslate\">Causes relatives a la cirurgia<\/span><\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">Pel que fa a la pr\u00f2pia\u00a0<strong>intervenci\u00f3 quir\u00fargica,<\/strong>\u00a0es poden donar complicacions que afectin al tancament adequat i a la posterior cicatritzaci\u00f3 de la ferida: infecci\u00f3 de la ferida per cirurgies contaminades, defecte de la paret i un tancament amb tensi\u00f3 excessiva a les vores, &#8230;<\/span><\/p>\n<ul>\n<li class=\"first last\">\n<h5><span class=\"notranslate\">Causes relatives al cirurgi\u00e0<\/span><\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">El factor m\u00e9s important relacionat amb una bona cicatritzaci\u00f3 d&#8217;una ferida quir\u00fargica \u00e9s el tancament adequat d&#8217;aquesta incisi\u00f3 per part del cirurgi\u00e0.<\/span>\u00a0<span class=\"notranslate\">El que s&#8217;anomena una\u00a0<strong>BONA T\u00c8CNICA de tancament de la paret abdominal.<\/strong><\/span>\u00a0<span class=\"notranslate\">Hi ha un consens m\u00e8dic cient\u00edfic de com s&#8217;ha de dur a terme aquesta t\u00e8cnica ideal de tancament per minimitzar al m\u00e0xim el desenvolupament posterior d&#8217;una\u00a0<strong>eventraci\u00f3.<\/strong><\/span><\/p>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h1 style=\"padding-left: 30px; padding-right: 30px;\" align=\"CENTER\"><span style=\"color: white;\">VOLS CONTACTAR\u00a0AMB EL DR. JUAN JOS\u00c9 ESPERT?<\/span><\/h1>\n<p class=\"boto\" style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=232\" target=\"_blank&amp;\">M&#8217;INTERESSA<\/a><\/p>\n<\/div>\n<h2><span class=\"notranslate\">L&#8217;EVENTRACI\u00d3, UN PROBLEMA GREU I COM\u00da<\/span><\/h2>\n<p><span class=\"notranslate\">La\u00a0<strong>eventraci\u00f3<\/strong>\u00a0\u00e9s un problema molt greu.<\/span>\u00a0<span class=\"notranslate\">En diversos articles publicats s&#8217;estima que\u00a0<strong>fins a un ter\u00e7 de les intervencions quir\u00fargiques en qu\u00e8 es realitza una incisi\u00f3 a la paret abdominal presenten eventracions\u00a0<\/strong>posteriorment.<\/span><\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=es&amp;ie=UTF8&amp;prev=_t&amp;rurl=translate.google.com&amp;sl=es&amp;sp=nmt4&amp;tl=ca&amp;u=https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/232\/juan-jose-espert-ibanez%3Fesp%3D74&amp;xid=17259,15700021,15700105,15700124,15700149,15700168,15700173,15700201&amp;usg=ALkJrhjHWoxhhHrA_GUljCZPPdHVvyv9lg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-17\" src=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/wp-content\/uploads\/sites\/10\/2018\/01\/juan-jose-espert.jpg\" alt=\"\" width=\"100\" height=\"100\" \/><\/a><\/strong><span class=\"notranslate\"><strong>&#8220;Fins a un ter\u00e7 de les intervencions quir\u00fargiques en qu\u00e8 es realitza una incisi\u00f3 a la paret abdominal presenten eventracions&#8221;<\/strong><\/span><\/h4>\n<p><span class=\"notranslate\"><a href=\"https:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=es&amp;ie=UTF8&amp;prev=_t&amp;rurl=translate.google.com&amp;sl=es&amp;sp=nmt4&amp;tl=ca&amp;u=https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/232\/juan-jose-espert-ibanez%3Fesp%3D74&amp;xid=17259,15700021,15700105,15700124,15700149,15700168,15700173,15700201&amp;usg=ALkJrhjHWoxhhHrA_GUljCZPPdHVvyv9lg\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Juan Jos\u00e9 Espert Iba\u00f1ez<\/a><\/span><\/p><\/blockquote>\n<p><span class=\"notranslate\">Ni tan sols la\u00a0<strong>cirurgia laparosc\u00f2pica<\/strong>\u00a0es lliura d&#8217;aquest problema ja que, encara que es realitzen incisions molt m\u00e9s petites, la freq\u00fc\u00e8ncia de\u00a0<strong>eventraci\u00f3<\/strong>\u00a0es situa al voltant del 15%.<\/span><\/p>\n<hr \/>\n<div id=\"tractament-eventracio\"><\/div>\n<h2><span class=\"notranslate\">TRACTAMENT DE L&#8217;EVENTRACI\u00d3<\/span><\/h2>\n<p><span class=\"notranslate\">El\u00a0<strong>tractament de l&#8217;eventraci\u00f3<\/strong>\u00a0\u00e9s quir\u00fargic.<\/span>\u00a0<span class=\"notranslate\">Sabem que,\u00a0<strong>com m\u00e9s cirurgies es duguin a terme, PITJORS s\u00f3n els resultats.<\/strong><\/span>\u00a0<span class=\"notranslate\">D&#8217;aqu\u00ed la import\u00e0ncia de dur a terme una cirurgia adequada i duradora, realitzada per un <a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">cirurgi\u00e0 expert<\/a> i en un centre de refer\u00e8ncia.<\/span><\/p>\n<p><span class=\"notranslate\">La popularitzaci\u00f3 de l&#8217;\u00fas de malles quir\u00fargiques (pr\u00f2tesis) per tractar de forma m\u00e9s duradora o definitiva aquest problema, ha suposat un avan\u00e7 molt important.<\/span>\u00a0<span class=\"notranslate\">La majoria de la comunitat cient\u00edfica considera necessari el seu \u00fas perqu\u00e8 els seus avantatges (molt millors resultats) superen de llarg els seus inconvenients (mol\u00e8sties per cos estrany, infecci\u00f3).<\/span><\/p>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<blockquote>\n<h4>ET POT INTERESSAR&#8230;<\/h4>\n<ul>\n<li>\n<h4><a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\" target=\"_blank\" rel=\"noopener noreferrer\">Tipus i caracter\u00edstiques de malles per a cirurgia de la paret abdominal<\/a><\/h4>\n<\/li>\n<\/ul>\n<\/blockquote>\n<\/div>\n<p><span class=\"notranslate\">L&#8217;altre factor important que ha millorat els resultats, ha estat la dedicaci\u00f3 d&#8217;un grup de cirurgians a desenvolupar noves, variades, i millors t\u00e8cniques quir\u00fargiques en el\u00a0<strong>tractament de l&#8217;eventraci\u00f3 a la paret abdominal,<\/strong>\u00a0sobretot en els \u00faltims 15-20 anys .<\/span>\u00a0<span class=\"notranslate\">A aix\u00f2 s&#8217;ha afegit la\u00a0<strong>cirurgia laparosc\u00f2pica<\/strong>\u00a0com una altra t\u00e8cnica molt \u00fatil en certs grups de pacients.<\/span><\/p>\n<div id=\"cirurgia-eventracio\"><\/div>\n<h2><span class=\"notranslate\">CIRURGIA DE L&#8217;EVENTRACI\u00d3: OBERTA VS LAPAROSC\u00d2PICA<\/span><\/h2>\n<p><span class=\"notranslate\">La cirurgia per al\u00a0<strong>tractament de l&#8217;eventraci\u00f3 o h\u00e8rnia incisional<\/strong>\u00a0pot ser\u00a0<strong>oberta<\/strong>\u00a0o\u00a0<strong>laparosc\u00f2pica.\u00a0<\/strong><\/span><span class=\"notranslate\">Cadascuna d&#8217;aquestes t\u00e8cniques t\u00e9 els seus avantatges i inconvenients o limitacions.<\/span>\u00a0<span class=\"notranslate\">En el post d&#8217;avui intentarem explicar els punts forts i febles de cada t\u00e8cnica i qu\u00e8 portar\u00e0 al metge especialista a escollir una o altra.<\/span><\/p>\n<p><span class=\"notranslate\">Tot i que est\u00e0 molt m\u00e9s estesa la\u00a0<strong>reparaci\u00f3 de l&#8217;eventraci\u00f3 mitjan\u00e7ant cirurgia oberta<\/strong>,\u00a0la\u00a0<strong>cirurgia laparosc\u00f2pica<\/strong>\u00a0t\u00e9 els seus avantatges i pot estar m\u00e9s indicada en determinats casos.<\/span>\u00a0<span class=\"notranslate\">Vegem quins s\u00f3n els avantatges de cada t\u00e8cnica:<\/span><\/p>\n<ul>\n<li>\n<h5>Avantatges de la cirurgia laparosc\u00f2pica per al tractament de l&#8217;eventraci\u00f3<\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">La\u00a0<strong>eventroplastia laparosc\u00f2pica<\/strong>\u00a0presenta molts avantatges per al pacient, sobretot pel que fa al postoperatori.<\/span>\u00a0<span class=\"notranslate\">Aquesta t\u00e8cnica ofereix una\u00a0<strong>recuperaci\u00f3 postoperat\u00f2ria m\u00e9s r\u00e0pida,<\/strong>\u00a0<strong>no presenta complicacions de la ferida quir\u00fargica<\/strong>\u00a0(les incisions s\u00f3n molt petites), i prev\u00e9 la\u00a0<strong>infecci\u00f3 de\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\">la malla quir\u00fargica<\/a><\/strong>.<\/span><\/p>\n<blockquote>\n<h4><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.barnaclinic.com\/media\/upload\/cache\/juan_jose_espert_1448386783_a356356.png\" width=\"90\" height=\"90\" \/><\/strong><\/h4>\n<h4><span class=\"notranslate\"><strong>&#8220;La eventroplastia laparosc\u00f2pica ofereix una recuperaci\u00f3 postoperat\u00f2ria m\u00e9s r\u00e0pida, no presenta complicacions de la ferida quir\u00fargica i prev\u00e9 la infecci\u00f3 de la malla quir\u00fargica&#8221;<\/strong><\/span><\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<ul>\n<li>\n<h5>\u00a0Avantatges de la cirurgia oberta per al tractament de l&#8217;eventraci\u00f3<\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">En la major part de casos d&#8217;<strong><a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/eventracio\/\" target=\"_blank\" rel=\"noopener noreferrer\">eventraci\u00f3<\/a><\/strong>, no es tanca l&#8217;orifici de l&#8217;h\u00e8rnia ja que<strong>\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\">la malla<\/a>\u00a0<\/strong>actua com un pegat.\u00a0<\/span><span class=\"notranslate\">Aix\u00ed doncs, quan es realitza una\u00a0<strong>cirurgia oberta<\/strong>\u00a0per al seu tractament, no es reconstrueix la\u00a0<strong>paret abdominal<\/strong>,\u00a0quelcom de molt important per a la seva adequada funcionalitat.<\/span><\/p>\n<blockquote>\n<h4><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.barnaclinic.com\/media\/upload\/cache\/juan_jose_espert_1448386783_a356356.png\" width=\"90\" height=\"90\" \/><\/strong><\/h4>\n<h4><span class=\"notranslate\"><strong>&#8220;Quan es tracta l&#8217;eventraci\u00f3 mitjan\u00e7ant cirurgia oberta no es reconstrueix la paret abdominal,\u00a0quelcom de molt important per a la seva adequada funcionalitat&#8221;<\/strong><\/span><\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/232\/juan-jose-espert-ibanez?esp=74\" target=\"_blank\" rel=\"noopener noreferrer\">Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<h4>La millor opci\u00f3? Dep\u00e8n de cada cas<\/h4>\n<p><span class=\"notranslate\">El m\u00e9s adequat consisteix a seleccionar de la millor t\u00e8cnica per a cada cas.<\/span>\u00a0<span class=\"notranslate\">S&#8217;ha de tenir en compte una s\u00e8rie de variables que faran adequada un tipus de cirurgia o un altre depenent del pacient.<\/span>\u00a0<span class=\"notranslate\">Les variables que portaran a que el metge especialista esculli una\u00a0<strong>t\u00e8cnica quir\u00fargica o una altra per al\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/eventracio\/\">tractament de l&#8217;eventraci\u00f3<\/a><\/strong>\u00a0s\u00f3n: El di\u00e0metre de l&#8217;orifici de l&#8217;eventraci\u00f3, les cirurgies pr\u00e8vies, l&#8217;\u00edndex de massa corporal o les activitats f\u00edsiques habituals.<\/span><\/p>\n<div id=\"recidiva-eventracio\"><\/div>\n<h2><span class=\"notranslate\">LA IMPORT\u00c0NCIA DE UN BON CIRURGI\u00c0 PER TRACTAR L&#8217;EVENTRACI\u00d3<\/span><\/h2>\n<p><span class=\"notranslate\">Per aquestes raons;<\/span>\u00a0<span class=\"notranslate\">la seva elevada incid\u00e8ncia, la seva dificultat t\u00e8cnica, i la necessitat d&#8217;un coneixement prec\u00eds i actualitzat d&#8217;anatomia i noves t\u00e8cniques quir\u00fargiques, \u00e9s\u00a0<strong>FONAMENTAL TRIAR UN\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">CIRURGI\u00c0 DEDICAT A LA PARET ABDOMINAL<\/a><\/strong>\u00a0pel\u00a0<strong>tractament de l&#8217;eventraci\u00f3 prim\u00e0ria<\/strong>\u00a0o que hagi estat operada en diverses ocasions (recidivada).<\/span>\u00a0<span class=\"notranslate\">\u00c9s crucial per aconseguir els millors resultats.<\/span><\/p>\n<h2>Recidiva d&#8217;una eventraci\u00f3<\/h2>\n<p>S&#8217;anomena\u00a0<strong>recidiva d&#8217;una eventraci\u00f3<\/strong>\u00a0a la reaparici\u00f3 de la mateixa\u00a0<strong>h\u00e8rnia incisional<\/strong>\u00a0que, despr\u00e9s d&#8217;una cirurgia que ha intentat ser curativa i duradora, ha tornat a produir-se.\u00a0<span class=\"notranslate\">Quan s&#8217;avalua preoperat\u00f2riament una\u00a0<strong>recidiva d&#8217;una<\/strong>\u00a0<strong>eventraci\u00f3,<\/strong>\u00a0el fet que ja s&#8217;hagi operat pr\u00e8viament fa que es consideri (entre altres factors) un\u00a0<strong>eventraci\u00f3 complexa<\/strong>.<\/span>\u00a0<span class=\"notranslate\">Per obtenir els millors resultats en el\u00a0<strong>tractament d&#8217;una eventraci\u00f3 recidiva complexa,<\/strong>\u00a0s&#8217;haur\u00e0 de realitzar una nova cirurgia, diferent a la que s&#8217;hagi practicat anteriorment.<\/span><\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.barnaclinic.com\/media\/upload\/cache\/juan_jose_espert_1448386783_a356356.png\" alt=\"\" width=\"90\" height=\"90\" \/><\/a><\/strong><\/h4>\n<h4><span class=\"notranslate\">&#8220;Per obtenir el millor resultat en el tractament d&#8217;una recidiva d&#8217;una eventraci\u00f3, s&#8217;ha de realitzar una cirurgia diferent a la practicada anteriorment&#8221;<\/span><\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<div id=\"evitar-recidiva-eventracio\"><\/div>\n<h4>Com puc evitar la recidiva d&#8217;una eventraci\u00f3?<\/h4>\n<p><span class=\"notranslate\">Avui en dia,\u00a0<strong>cap t\u00e8cnica quir\u00fargica assegura una curaci\u00f3 definitiva d&#8217;una h\u00e8rnia incisional<\/strong>\u00a0.<\/span>\u00a0<span class=\"notranslate\">Aix\u00ed doncs, sempre es pot produir una\u00a0<strong>recidiva d&#8217;una eventraci\u00f3<\/strong>.<\/span>\u00a0<span class=\"notranslate\">No obstant aix\u00f2, tenir a disposici\u00f3 la tecnologia necess\u00e0ria i con\u00e8ixer i poder aplicar diverses t\u00e8cniques quir\u00fargiques, millora els resultats en grups especialitzats com el nostre.<\/span><\/p>\n<p><span class=\"notranslate\">Utilitzar diverses t\u00e8cniques de\u00a0<strong>cirurgia oberta,<\/strong>\u00a0o combinar-les, aix\u00ed com el paper que pot exercir la\u00a0<strong>cirurgia laparosc\u00f2pica<\/strong>\u00a0en casos de\u00a0<strong>recidiva d&#8217;una eventraci\u00f3,<\/strong>\u00a0\u00e9s fonamental per intentar aproximar el m\u00e0xim possible la recaiguda al 0%.\u00a0<\/span><\/p>\n<div id=\"tractament-recidiva-eventracio\"><\/div>\n<h4>Tractament de la recidiva d&#8217;una eventraci\u00f3<\/h4>\n<ul>\n<li>\n<h5><span class=\"notranslate\">Cirurgia laparosc\u00f2pica per al tractament de l&#8217;eventraci\u00f3 recidivada<\/span><\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">La\u00a0<strong>cirurgia laparosc\u00f2pica,<\/strong>\u00a0utilitzada com a primera opci\u00f3 o com a soluci\u00f3 despr\u00e9s del frac\u00e0s de la cirurgia oberta, t\u00e9 algunes limitacions.<\/span>\u00a0<span class=\"notranslate\">Aix\u00ed doncs, no ser\u00e0 la t\u00e8cnica d&#8217;elecci\u00f3 davant\u00a0<strong>eventracions de grans dimensions<\/strong>\u00a0en el seu di\u00e0metre trasverso, ni per al tancament de la l\u00ednia mitjana (orifici herniari), ni per a la col\u00b7locaci\u00f3 d&#8217;una\u00a0<a href=\"http:\/\/www.barnaclinic.com\/blog\/patologia-pared-abdominal\/ca\/malles-per-a-cirurgia-la-paret-abdominal\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>malla intraabdominal<\/strong><\/a>, entre d&#8217;altres.<\/span><\/p>\n<ul>\n<li>\n<h5><span class=\"notranslate\">Cirurgia rob\u00f2tica per al tractament de l&#8217;eventraci\u00f3 recidivada<\/span><\/h5>\n<\/li>\n<\/ul>\n<p><span class=\"notranslate\">La\u00a0<a href=\"https:\/\/www.barnaclinic.com\/blog\/ca\/blog\/cirurgia-robotica\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>cirurgia rob\u00f2tica<\/strong><\/a>\u00a0est\u00e0 comen\u00e7ant a ser utilitzada per grups experts per al tractament de\u00a0<strong>recidives d&#8217;una eventraci\u00f3<\/strong>.<\/span>\u00a0<span class=\"notranslate\">Aquest tipus de t\u00e8cnica quir\u00fargica\u00a0<strong>supera la limitacions de la cirurgia laparosc\u00f2pica<\/strong>\u00a0i es convertir\u00e0 en els propers anys en una eina terap\u00e8utica fonamental en el\u00a0<strong>tractament de la recaiguda d&#8217;una h\u00e8rnia incisional<\/strong>.<\/span>\u00a0<span class=\"notranslate\">La progressiva aparici\u00f3 de &#8220;robots&#8221; quir\u00fargics de menor grand\u00e0ria (m\u00e9s manejables dins d&#8217;un quir\u00f2fan), m\u00e9s &#8220;intel\u00b7ligents&#8221; i m\u00e9s econ\u00f2mics, aconseguir\u00e0 generalitzar el seu \u00fas i millorar els resultats en el\u00a0<strong>tractament de la recidiva d&#8217;una eventraci\u00f3,<\/strong>\u00a0com ha succe\u00eft amb altres patologies quir\u00fargiques.<\/span><\/p>\n<blockquote>\n<h4><strong><a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/www.barnaclinic.com\/media\/upload\/cache\/juan_jose_espert_1448386783_a356356.png\" alt=\"\" width=\"90\" height=\"90\" \/><\/a><\/strong><\/h4>\n<h4><span class=\"notranslate\">&#8220;La cirurgia rob\u00f2tica es convertir\u00e0 en una eina fonamental per al tractament de la rediciva de l&#8217;eventraci\u00f3, ja que supera les limitacions de les t\u00e8cniques laparosc\u00f2piques&#8221;<\/span><\/h4>\n<p>Dr.\u00a0<a href=\"https:\/\/www.barnaclinic.com\/ca\/quadre-medic\/232\/juan-jose\" target=\"_blank\" rel=\"noopener noreferrer\">Juan Jos\u00e9 Espert<\/a><\/p><\/blockquote>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h1 style=\"padding-left: 15px; padding-right: 15px;\" align=\"center\"><span style=\"color: white;\">VOLS\u00a0CONTACTAR\u00a0AMB EL DR. JUAN JOS\u00c9 ESPERT?<\/span><\/h1>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-cita\/?profesional=232\" target=\"_blank\" rel=\"noopener noreferrer\">DEMANAR CITA<\/a>\u00a0| <a class=\"button\" style=\"padding-left: 30px; padding-right: 20px;\" href=\"https:\/\/www.barnaclinic.com\/ca\/solicitar-televisita\/?profesional=232\" target=\"_blank;\">SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Una\u00a0eventraci\u00f3\u00a0o\u00a0h\u00e8rnia incisional\u00a0\u00e9s el resultat d&#8217;una mala cicatritzaci\u00f3 d&#8217;una incisi\u00f3 (tall) realitzada a la\u00a0paret abdominal\u00a0durant una intervenci\u00f3 quir\u00fargica.\u00a0El resultat \u00e9s un defecte (forat) en la mateixa per on pot sortir contingut abdominal (nanses intestinals) causant obstruccions, dolor i, en els casos m\u00e9s greus,\u00a0necrosi intestinal.<\/p>\n","protected":false},"author":2,"featured_media":19,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59,69],"tags":[81,82,8,83,9,10,73],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L&#039;eventraci\u00f3: Qu\u00e8 \u00e9s? 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