A wide variety of surgical options exist for abdominal wall reconstruction. Part of the key to success, however, consist on choosing the operation that will give the most functional and aesthetic result while focusing on measures to decrease the incidence of catastrophic complications and need for reoperation. In this article, we review reconstructive modalities for abdominal wall defects, with special attention to complex ventral hernias and components separation techniques. Our description of recent scientific advances and the emphasis on a multidisciplinary approach to patient care reflects current trend and going forward to the use of bioprosthetic materials.
Abdominal wall defects may be congenital or acquired. This review focuses on the latter. Often, such defects manifest themselves as massive ventral hernias and result from prior abdominal operations, trauma or edema related loss of domain, massive infection, radiation necrosis, or tumor resection.
Complications associated with abdominoplasty occur primarily in patients who are smokers, morbid obese, frail, diabetics. In addition to the general postoperative complications such as bleeding, wound infection, delayed wound healing, skin or fat necrosis, numbness to abdominal region or thighs can occur. Updates in Abdominal Wall Reconstruction: Garrido DE, Aponte YM, Behnam AB, Keeshin T, Sinha V, Evans Kk and Salgado CJ
Last date updated on June, 2014