Long-Term Follow-Up of Abdominal Wall Reconstruction after Planned Ventral Hernia: A 15-Year Experience

DiCocco, Jennifer M.; Magnotti, Louis J.; Emmett, Katrina P.; Zarzaur, Ben L.; Croce, Martin A.; Sharpe, John P.; Shahan, Charles P.; Jiao, Haiqiao; Goldberg, Steven P.; Fabian, Timothy C.

doi:10.1016/j.jamcollsurg.2009.12.034

Cited by 66 publications

(37 citation statements)

References 20 publications

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“…The resulting abdominal wall defect after open abdomen can be quite large, and subsequent reconstruction may be associated with high additional morbidity [19]. Except for one patient, no reconstructive surgery was necessary after mesh implantation for open abdomen.…”

Section: Discussionmentioning

confidence: 98%

Intraperitoneal Mesh Implantation for Fascial Dehiscence and Open Abdomen

et al. 2012

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Section: Discussionmentioning

confidence: 98%

Intraperitoneal Mesh Implantation for Fascial Dehiscence and Open Abdomen

et al. 2012

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“…However, in a long-term follow-up study the use of prosthetic enforcement increased the recurrence rate 4-fold. Using a modified technique where an additional relaxing incision of the internal oblique muscle was followed by suturing the medial border of the posterior sheath to the lateral border of the anterior sheath, the authors were able to reduce the recurrence rate to 5% without using a prosthetic mesh (16).…”

Section: Choice Of Reconstruction Methodsmentioning

confidence: 99%

Reconstruction of Complex Abdominal Wall Defects

Leppäniemi

Tukiainen

2013

Scand J Surg

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complex abdominal wall defects refer to situations where simple ventral hernia repair is not feasible because the defect is very large, there is a concomitant infection or failed previous repair attempt, or if there is not enough original skin to cover the repair. usually a complex abdominal wall repair is preceded by a period of temporary abdominal closure where the short-term aims include closure of the catabolic drain, protection of the viscera and preventing fistula formation, preventing bowel adherence to the abdominal wall, and enabling future fascial and skin closure. currently the best way to achieve these goals is the vacuum-and mesh-mediated fascial traction method achieving close to 90% fascial closure rates. the long-term aims of an abdominal closure following a planned hernia strategy include intact skin cover, fascial closure at midline (if possible), good functional outcome with innervated abdominal musculature, no pain and good cosmetic result. the main methods of abdominal wall reconstruction include the use of prosthetic (mesh) or autologous material (tissue flaps). in patients with original skin cover over the fascial defect (simple ventral hernia), the most commonly used method is hernia repair with an artificial mesh. for more complex defects, our first choice of reconstruction is the component separation technique, sometimes combined with a mesh. in contaminated fields where component separation alone is not feasible, a combination with a biological mesh can be used. in large defects with grafted skin, a free tfl flap is the best option, sometimes reinforced with a mesh and enhanced with components separation.

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“…Surgical closure of ventral hernias is associated with high costs and prolonged hospital stay. The recurrence rate after secondary closure of a ventral hernia is 10-14% [4,5]. Also, the use of a split-thickness skin graft will lead to a cosmetically inferior outcome and lack of sensation in the treated area.…”

Section: Introductionmentioning

confidence: 99%