Surgery Of Complex Abdominal Wall Defects

Complex abdominal wall hernias and complex abdominal wall defects, including stomas or the complications associated with any of the above, are common and challenging for surgeons. The lack of high quality evidence leaves surgeons without clear guidance regarding the selection of technique or material to be used when treating these serious problem. Surgery of Complex Abdominal Wall Defects has been written to provide this guidance. It covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, indications for, and surgical techniques used to, reconstruct the abdominal wall. In addition, through a number of illustrations, the placement of mesh in the abdominal wall reconstruction, as well as manipulations of patient’s tissue including lateral compartment release techniques and other tissue transfer techniques are described in detail. The text also covers reconstruction of complex contaminated abdominal wall defects in patients with complex enteric fistulae; ostomies, defects created after the excision of previously placed infected prosthetic mesh, and defects associated with acute tissue loss after severe trauma or necrosis of abdominal wall such as necrotizing soft tissue infections. Complex abdominal wall defects in pediatric population and long-term outcomes and durability of these repairs are also addressed. Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world. It will serve as a guide for current practice for surgeons, including general, trauma, acute care, plastic and reconstructive surgeons.

As with the first edition, the second edition of this book covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, and indications for and surgical techniques used to reconstruct the abdominal wall from the practical stand point. In addition, through a number of illustrations, the placement of mesh in the abdominal wall reconstruction as well as manipulations of patient’s tissue including lateral compartment release techniques and other tissue transfer techniques are described in detail. The text also covers reconstruction of complex contaminated abdominal wall defects in patients with complex enteric fistulae, stomas, defects created after the excision of previously placed infected prosthetic mesh, and defects associated with acute tissue loss after severe trauma or necrosis of abdominal wall such as necrotizing soft tissue infections. Complex abdominal wall defects in the pediatric population and long-term outcomes and durability of these repairs are also addressed. The second edition of Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world and has been updated thoroughly. As with the first edition, it will continue to serve as a guide for current practice for surgeons, including general, trauma, acute care, plastic and reconstructive surgeons.

This practical, go-to reference by Drs. Losken and Janis will provide you with the tools you need when addressing a host of abdominal wall problems, ranging from simple to complex hernia repair and abdominal wall reconstruction. It provides information on the latest developments in mesh and biologic materials and their applications for abdominal hernia repair as well as step-by-step surgical technique for ensuring successful outcomes in all types of abdominal wall reconstruction. Advances in Abdominal Wall Reconstruction presents the range of current options available for surgical repair in a systematic fashion. Treatment options and algorithms provide readers with insights into choices for approaching different problems. Strategies for minimizing morbidity and for avoiding recurrences are also discussed in detail as are helpful tips and tricks and safe and reliable options for dealing with complex problems. New techniques are described along with the evidence-based data on outcomes and numerous case examples to reinforce important concepts. Potential problems and pitfalls are thoroughly covered to help surgeons avoid potential complications. Although the main focus of this book is on surgical technique, it also discusses basic principles, etiology of abdominal defects, organizations strategies and outcomes. A DVD with 3 operative videos complements the book. The editors have put together an imminently helpful work which should prove invaluable for a broad range of surgical specialties. They are assisted by a multi-disciplinary group of leading experts and pioneers in surgery and plastic surgery. The book is divided into three parts. The first part focuses on fundamentals with essential chapters devoted to abdominal wall anatomy, hernia defect classification, abdominal wound care and synthetic meshes, and tissue biologics for abdominal wall reconstruction. Parts II and III are devoted to various types of abdominal wall reconstruction as well as simple and complex hernia repair using synthetic meshes and biologics. Chapters within these sections are clinical and technique-oriented, with ample illustrations and photos depicting the different surgical approaches. A key chapter in this section focuses on "Anatomic Components Separation: Applications and Advances in Technique." This simple, reliable technique is one of the most exciting, recent advances in abdominal wall reconstruction. Another hot topic covered in depth in several comprehensive chapters is that of biologics in complex abdominal wall repair; these materials have revolutionized abdominal wall reconstruction. Critical chapters are included on the science behind biologics as well as specific techniques for using them. Other cutting-edge topics include: laparoscopic hernia repair and management of parastomal hernias, enterocutaneous fistulas, postoperative abdominal bulges (a common, challenging problem), and recurrent ventral abdominal hernias, to name a few. An exciting chapter on abdominal wall transplantation gives readers insight into promising new developments and what lies on the horizon in abdominal wall reconstruction. Hot Topics Biologics in Abdominal Wall Reconstruction: Basic Science and Technical Considerations Synthetic Mesh in Abdominal Wall Reconstruction Separation of Anatomic Components Method of Abdominal Wall Reconstruction: Application and Advances in Technique Minimally Invasive Ventral Hernia Repair Management of Postoperative Abdominal Bulges The Retro-Rectus Technique for Mesh Placement

Since general surgeons first started performing laparotomies in the late 1880's, acquired hernias and abdominal wall defects have become a surgical disease of their own. Many surgeons have made it their life's work to develop surgical techniques, design hernia meshes or utilize biologic tissue for repair of these abdominal wall defects. Hernias are defined as a defect in the normal architecture of the abdominal wall muscuolo-aponeuroic structure. They are subdivided into congenital or acquired hernias. The ventral or incisional hernia defects are rare due to the failure of normal healing of the incision after a laparotomy. The approach to the initial repair may be quite straightforward in the patient with a simple fascial defect who is otherwise healthy. As the size of the defect gets beyond 4 cm, or the patient has a significant co-morbid disease, other considerations must come into play. The component separation technique for abdominal wall reconstruction has brought many new young surgeons to focus their skills toward improving it. With the advances in critical care and peri-operative resuscitation together with knowledge of the abdominal compartment syndrome, surgeons are addressing very complicated ventral hernias. They commonly have significant loss of domain, tissue loss due to infection or tumor, or an entero-atmospheric intestinal fistula. The combined information in this text will help the surgeon identify the right surgical technique for the right patient. The focus of the text is the evaluation, prevalence, surgical techniques, and outcomes of patients undergoing complex ventral hernia repairs. The use of preoperative evaluation imaging is reviewed. The multiple etiologies of hernia and abdominal wall defects are mentioned. The surgical repairs utilizing tissue repairs, both synthetic and biologic mesh are reviewed, and the component separation is discussed in detail. New endo/laparoscopic component separation techniques are also described. This text will become a must-have for every surgeon who takes care of patients with complex ventral hernias.

The focus of the text is the evaluation, prevalence, surgical techniques, and outcomes of patients undergoing complex ventral hernia repairs. The use of preoperative evaluation imaging is reviewed. The multiple etiologies of hernia and abdominal wall defects are mentioned. The surgical repairs utilising tissue repairs, both synthetic and biologic mesh are reviewed, and the component separation is discussed in detail. New endo/laparoscopic component separation techniques are also described. This text will become a must-have for every surgeon who takes care of patients with complex ventral hernias.

This book provides a useful guide for the management of complex abdominal wall problems from the perspective of a general surgeon, with sensible, practical clinical advice for the management of problems as they arise. Starting from managing the open abdomen and optimising the chances of achieving later definitive fascial closure, through to dealing with incisional and parastomal hernias throughout the abdomen. Expert guidance supported by an evidence-based review of the literature aids higher surgical trainees and consultant general surgeons who wish to expand their practice in this area. Focuses on the needs of the general surgeon Offers practical tips and advice for handling difficult cases Based on current best evidence Complemented by high quality images

The second edition of Rosen’s Atlas of Abdominal Wall Reconstruction has been refreshed and updated to include today's latest advances in abdominal wall surgery. Coverage of 10 brand-new operative procedures provides the clear guidance needed to make the most effective use of both commonly performed and new and emerging surgical techniques for reconstruction. Comprehensive in scope and lavishly illustrated throughout, it's a must-have resource that residents and practitioners alike will reference for repairs ranging from the simple to the complex. Covers congenital as well as acquired abdominal wall problems and surgeries, presenting readers with the full range of disorders which cause these defects and their surgical therapies. High-quality 4-color anatomic illustrations and clinical intra-operative photos allow users to view internal structures in a meaningful way. Features laparoscopic, open, and hybrid surgical approaches, providing surgeons with the skills necessary to repair both simple and complex defects. Familiarizes readers with all aspects of the preoperative, intraoperative and postoperative care of the patient. Covers the latest advances in reconstruction, including mesh deployment techniques and minimally invasive techniques for hernia repair. Highlights 10 brand-new operative procedures: -Posterior Component Separation with Transversus Abdominus Muscle Release -Open Ventral Hernia Repair with Onlay Mesh -Chemical Component Separation with Botox -Perineal Hernia Repair -Robotic Transabdominal Preperitoneal (r-TAPP) Hernia Repair for Ventral Hernias -Surgical Approach to the Rectus Diastasis -Umbilical Hernia Repair -Repair of the Post-TRAM Bulge/Hernia -Transabdominal Preperitoneal Inguinal Hernia Repair -Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair Includes a new chapter on the Preoperative Optimization of the Hernia Patient.

This book is a surgical manual, intended to present and discuss the use of robotic surgery for abdominal wall hernia repair. It comprises the most important surgical approaches in the field, presenting step by step procedures in a clear and didactic way. Abdominal wall hernias are very common conditions, easily identifiable in clinical practice and that usually require a surgical intervention as treatment. However, the choice for the right surgical procedure to treat those conditions may vary, provided the diversity on possible techniques, clinical presentations and complexity. Robotic surgery has emerged in recent years as an important tool to increase the number of surgical approaches for the surgeon who faces abdominal wall hernias. Video-assisted and robotic surgery may represent a consistent improvement in options available for the surgeon involved in wall hernia repair. Current robotic surgical techniques present several of the benefits of common laparoscopic surgery features (such as low invasiveness and fast recovery), and adds some other specific benefits, such as more dynamic and precise movements and a much better view of the operatory field. Robotic Surgery for Abdominal Wall Hernia Repair is intended to help surgeons to manage this disease from another point of view and to choose the best procedures in each case, pushing medical practice to another level of decisions, investigation and follow up, considering the use of new technologies in robotic surgery. It intends to be a reference manual to medical practitioners who has surgical skills in their backgrounds, but that are not familiar with the use of minimally invasive procedures for abdominal wall complex defects.