Considerations in Abdominal Wall Reconstruction
نویسندگان
چکیده
منابع مشابه
Abdominal Wall Reconstruction
Anterior abdominal wall defects can be difficult and daunting problems to solve anywhere in the world. These musculofascial defects may range from simple incisional hernias following previous laparotomy to complex open abdominal wounds with exposed viscera and enteric fistulas following traumatic injury or necrotizing fasciitis. These latter wounds are commonly associated with significant funct...
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Advances in trauma management and operative techniques, as well as cutting-edge management of intraabdominal catastrophes lead to enhanced patient survival, but challenging hernias as the sequelae. Hernia surgeons and plastic surgeons are saddled with increasingly complex abdominal wall reconstruction, often for whom there have been multiple prior attempts.1,2 Sometimes, a routine hernia repair...
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Mesh materials have undergone a considerable evolution over the last several decades. There has been enhancement of biomechanical properties, improvement in manufacturing processes, and development of antiadhesive laminate synthetic meshes. The evolution of bioprosthetic mesh materials has markedly changed our indications and methods for complex abdominal wall reconstruction. The authors review...
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Abdominal wall reconstruction is a complex and challenging surgical undertaking. While permanent prosthetic mesh is considered the gold standard for minimizing hernia recurrence, placement of synthetic mesh is sometimes imprudent due to contamination or risk of infection. Acellular dermal matrices (ADM) offer an exciting biologic alternative. This article provides a historical perspective on th...
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BACKGROUND In abdominal wall reconstruction, adequate pain control and minimization of narcotic consumption are essential to improving patient outcomes and satisfaction. Previous studies have examined the role of individual strategies, such as neuraxial analgesia and multimodal analgesia. However, there has not been a study that examined all potential determinants of postoperative narcotic requ...
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ژورنال
عنوان ژورنال: Seminars in Plastic Surgery
سال: 2012
ISSN: 1535-2188,1536-0067
DOI: 10.1055/s-0032-1302458