Abdominal wall reconstruction:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Elsevier Saunders
2006
|
| Schriftenreihe: | Clinics in plastic surgery
33,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XI S., S. 169 - 306 zahlr. Ill., graph. Darst. |
| ISBN: | 1416035192 |
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| 245 | 1 | 0 | |a Abdominal wall reconstruction |c guest ed. Mimis Cohen |
| 264 | 1 | |a Philadelphia [u.a.] |b Elsevier Saunders |c 2006 | |
| 300 | |a XI S., S. 169 - 306 |b zahlr. Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Clinics in plastic surgery |v 33,2 | |
| 650 | 4 | |a Abdominal Wall |x surgery | |
| 650 | 4 | |a Surgery, Plastic | |
| 650 | 4 | |a Surgical Flaps | |
| 700 | 1 | |a Cohen, Mimis |e Sonstige |4 oth | |
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| adam_text | ABDOMINAL WALL RECONSTRUCTION
Contents
Mimis Cohen
lfliMflnMliflfn ~ NJSilm CfltlfiH nm i mm mm i mi i I i I ?liti
Mimis Cohen
^toueturatand^nctioJlj^AnatprnyafjyfreAh d ffi M t,n,1TrrTr.,in,1.,.,.3[6^,
Mark A. Grevious, Mimis Cohen, Samir R. Shah, and Pedro Rodriguez
Multiple options exist for managing complex abdominal wall defects. These options
range from the use of autologous tissue with rearrangement procedures to the use of pros¬
thetic or bioprosthetic materials. All options rely on a thorough understanding of the
structural and functional anatomy of the abdominal wall and the relationship of varying
anatomical structures to provide the optimal reconstructive procedure. A successful recon¬
struction is achieved when the structural anatomy is integrated with understanding the
dynamic function of the abdominal wall.
*% MM 9* Pasties i Abdominal Wall Reconstruction 181
Mark A. Grevious, Mimis Cohen, Fritz Jean Pierre, and Glenn E. Herrmann
Large ventral or incisional hernias are often difficult to manage. Most commonly
patients are referred to reconstructive surgeons after multiple failed attempts of hernia
repair. The use of prosthetic and bioprosthetic materials have aided greatly in the man¬
agement of complex abdominal wall defects. A full understanding of the advantages
and disadvantages of specific prosthetic materials available, and the associated compli¬
cations of use, remains elusive, however. This article provides information concerning
the applications of appropriate prosthetic material for temporary or permanent closure
of difficult abdominal wall defects.
.ThRlalfi.MIiroro?^filFSin ftbrfftNtvM wal»ReconstructiQn 1
Charles E. Butler
In several common situations, bioprosthetic materials may have distinct advantages
over synthetic mesh and autologous flap or graft techniques for abdominal wall recon¬
struction. These off the shelf materials entail no donor site morbidity and are used suc¬
cessfully in contaminated wounds owing to their ability to resist infection, become
revascularized and incorporated into host tissue, and reduce visceral adhesions. I
Fibrovascular incorporation into surrounding tissues and implant remodeling reduce f
the risks associated with a persistent foreign body, such as chronic infection, enterocu
taneous fistulae, and cutaneous exposure. Disadvantages of bioprosthetic materials
include higher implant cost relative to synthetic mesh, limited size of individual sheets
in some cases, and risk of seroma formation. Bioprosthetic mesh has been used for
abdominal wall reconstruction for approximately 5 years, so long term studies are not ;
available. Current laboratory and clinical evidence suggests that these materials provide [
a strong, durable musculofascial repair when used for abdominal wall repair. Further j
studies and ongoing clinical experience will be important in determining the indica¬
tions for which bioprosthetic mesh will have the greatest impact. Currently available
commercial products have distinct differences that result in varied clinical biologic and
physiologic activity. New products and modifications to existing products may further
enhance the benefits of bioprosthetic mesh, particularly in challenging cases. The use j
of bioprosthetic mesh has attracted interest in a relatively short period of time, with rap (
idly increasing indications and volume of cases successfully performed. Bioprosthetic
mesh likely will play a progressively greater role in trunk reconstruction in the future.
Anthony J. DeFranzo and Louis Argenta
Abdominal wall defects pose a significant surgical challenge. The defect may result from
trauma, infections, previous major surgery, or some combination of these etiologies.
This article describes the Vacuum Assisted Closure device (VAC, KCI, San Antonio,
Texas) and how it can help in treating these defects.
James B. Lowe III
Like any clinical regime, the algorithm for abdominal wall reconstruction requires rou¬
tine updating as new options and techniques become available. Increased experience
and understanding of new applications have allowed for improvements to the
approach to complex abdominal wall defects. These improvements have increased effi¬
ciency and decreased risk, particularly in the area of staged reconstruction. Surgeons
have continued to rely heavily on autologous reconstruction and local tissue advance¬
ment for long term dynamic support. The current approach to abdominal wall recon¬
struction is based on understanding the literature, clinical experience, and the type of
patients seen in practice. This article provides surgeons with the basic guidelines to fol¬
low when faced with complex abdominal wall defects and the tools necessary to solve
these difficult problems in a responsible and reliable way.
Inception and Evolution of the Components Separation
Technique: Personal Recollections 241
Oscar M. Ramirez
This article provides an overview of the components separation technique. It describes
how the technique was first developed and innovations and improvements that have
followed through the years.
Separation of Anatomic Compw^MfltK^J of Abdominal Wall R Kanstrudton—
Vu Nguyen and Kenneth C. Shestak
This article describes some of the benefits and complications of the components sepa¬
ration technique. It additionally highlights some of the modifications that have been
made to the technique over the years.
Roshini Gopinathan and Mark Granick
Reconstruction of the anterior abdominal wall is based on six basic principles. First, the
anatomy of the abdominal wall and adjacent donor sites must be understood clearly.
This includes a complete knowledge of the neurovascular anatomy and the arc of rota¬
tion of each subunit. The defect then has to be exposed completely before the defini¬
tive closure is attempted. Once the defect is established, abdominal domain is restored
with some sort of support. The next phase of the repair involves reassigning local tissue
to close the defect. Distant tissue then is imported from donor sites such as the thigh,
if needed. Finally, the skin envelope is readjusted and closed. These principles help
optimize function and restore form, hence achieving the best possible result.
Abdominal Wall Reconstruction wfth Free Flaps 269
Brian Porshinsky and Sai Ramasastry
This article addresses the clinical applications of free tissue transfer for abdominal wall
reconstruction. Details of indications, techniques, and clinical examples for the cover¬
age of complex abdominal wall defects are presented.
Management of Abdominal Wall Defects Resulting from Complications of
llSlitfliiiliiillPfBtfitlHrRSliiiliiliMliMllliMMH ¦¦.¦¦¦¦¦¦ill ...¦»» .ii».. ......,rr..........,.i.fflj,
Mimis Cohen
This article presents the author s personal philosophy for treatment of various abdom¬
inal wall defects resulting from surgical complications and unfavorable results of previ¬
ous abdominal interventions. The purpose is not to discuss and analyze care and man¬
agement of all soft tissue complications encountered after abdominal surgery, but to
present the ones for which the plastic surgeon most likely will be asked to manage.
Mimis Cohen and Mark Grevious
Enterocutaneous fistulas can result from various conditions. Although some heal spon¬
taneously, others persist or recur. This article describes how using muscle flaps may aid
in managing recalcitrant gastrointestinal fistulas. Specific cases are cited.
¦wMnMBMhwumM I I ¦ I I I I n »i i I ill I » I» i i i I n i i i n n 11 mir rnrrrrrr T i 111 t r r r * I *.*s¦** 4:£j^.? ***.«#*;£¦ «*¦ ? *sa**.:*,s^!.5?£Mm7*
|
| adam_txt |
ABDOMINAL WALL RECONSTRUCTION
Contents
Mimis Cohen
lfliMflnMliflfn ~ NJSilm CfltlfiH nm i mm mm i mi ' i I i I ?liti
Mimis Cohen
^toueturatand^nctioJlj^AnatprnyafjyfreAh d ffi M t,n,1TrrTr.,in,1.,.,.3[6^,
Mark A. Grevious, Mimis Cohen, Samir R. Shah, and Pedro Rodriguez
Multiple options exist for managing complex abdominal wall defects. These options
range from the use of autologous tissue with rearrangement procedures to the use of pros¬
thetic or bioprosthetic materials. All options rely on a thorough understanding of the
structural and functional anatomy of the abdominal wall and the relationship of varying
anatomical structures to provide the optimal reconstructive procedure. A successful recon¬
struction is achieved when the structural anatomy is integrated with understanding the
dynamic function of the abdominal wall.
*% MM 9* Pasties i" Abdominal Wall Reconstruction 181
Mark A. Grevious, Mimis Cohen, Fritz Jean Pierre, and Glenn E. Herrmann
Large ventral or incisional hernias are often difficult to manage. Most commonly
patients are referred to reconstructive surgeons after multiple failed attempts of hernia
repair. The use of prosthetic and bioprosthetic materials have aided greatly in the man¬
agement of complex abdominal wall defects. A full understanding of the advantages
and disadvantages of specific prosthetic materials available, and the associated compli¬
cations of use, remains elusive, however. This article provides information concerning
the applications of appropriate prosthetic material for temporary or permanent closure
of difficult abdominal wall defects.
.ThRlalfi.MIiroro?^filFSin ftbrfftNtvM wal»ReconstructiQn 1"
Charles E. Butler
In several common situations, bioprosthetic materials may have distinct advantages
over synthetic mesh and autologous flap or graft techniques for abdominal wall recon¬
struction. These off the shelf materials entail no donor site morbidity and are used suc¬
cessfully in contaminated wounds owing to their ability to resist infection, become
revascularized and incorporated into host tissue, and reduce visceral adhesions. I
Fibrovascular incorporation into surrounding tissues and implant remodeling reduce f
the risks associated with a persistent foreign body, such as chronic infection, enterocu
taneous fistulae, and cutaneous exposure. Disadvantages of bioprosthetic materials
include higher implant cost relative to synthetic mesh, limited size of individual sheets
in some cases, and risk of seroma formation. Bioprosthetic mesh has been used for
abdominal wall reconstruction for approximately 5 years, so long term studies are not ;
available. Current laboratory and clinical evidence suggests that these materials provide [
a strong, durable musculofascial repair when used for abdominal wall repair. Further j
studies and ongoing clinical experience will be important in determining the indica¬
tions for which bioprosthetic mesh will have the greatest impact. Currently available
commercial products have distinct differences that result in varied clinical biologic and
physiologic activity. New products and modifications to existing products may further
enhance the benefits of bioprosthetic mesh, particularly in challenging cases. The use j
of bioprosthetic mesh has attracted interest in a relatively short period of time, with rap (
idly increasing indications and volume of cases successfully performed. Bioprosthetic
mesh likely will play a progressively greater role in trunk reconstruction in the future.
Anthony J. DeFranzo and Louis Argenta
Abdominal wall defects pose a significant surgical challenge. The defect may result from
trauma, infections, previous major surgery, or some combination of these etiologies.
This article describes the Vacuum Assisted Closure device (VAC, KCI, San Antonio,
Texas) and how it can help in treating these defects.
James B. Lowe III
Like any clinical regime, the algorithm for abdominal wall reconstruction requires rou¬
tine updating as new options and techniques become available. Increased experience
and understanding of new applications have allowed for improvements to the
approach to complex abdominal wall defects. These improvements have increased effi¬
ciency and decreased risk, particularly in the area of staged reconstruction. Surgeons
have continued to rely heavily on autologous reconstruction and local tissue advance¬
ment for long term dynamic support. The current approach to abdominal wall recon¬
struction is based on understanding the literature, clinical experience, and the type of
patients seen in practice. This article provides surgeons with the basic guidelines to fol¬
low when faced with complex abdominal wall defects and the tools necessary to solve
these difficult problems in a responsible and reliable way.
Inception and Evolution of the Components Separation
Technique: Personal Recollections 241
Oscar M. Ramirez
This article provides an overview of the components separation technique. It describes
how the technique was first developed and innovations and improvements that have
followed through the years.
Separation of Anatomic Compw^MfltK^J of Abdominal Wall R Kanstrudton—
Vu Nguyen and Kenneth C. Shestak
This article describes some of the benefits and complications of the components sepa¬
ration technique. It additionally highlights some of the modifications that have been
made to the technique over the years.
Roshini Gopinathan and Mark Granick
Reconstruction of the anterior abdominal wall is based on six basic principles. First, the
anatomy of the abdominal wall and adjacent donor sites must be understood clearly.
This includes a complete knowledge of the neurovascular anatomy and the arc of rota¬
tion of each subunit. The defect then has to be exposed completely before the defini¬
tive closure is attempted. Once the defect is established, abdominal domain is restored
with some sort of support. The next phase of the repair involves reassigning local tissue
to close the defect. Distant tissue then is imported from donor sites such as the thigh,
if needed. Finally, the skin envelope is readjusted and closed. These principles help
optimize function and restore form, hence achieving the best possible result.
Abdominal Wall Reconstruction wfth Free Flaps 269
Brian Porshinsky and Sai Ramasastry
This article addresses the clinical applications of free tissue transfer for abdominal wall
reconstruction. Details of indications, techniques, and clinical examples for the cover¬
age of complex abdominal wall defects are presented.
Management of Abdominal Wall Defects Resulting from Complications of
llSlitfliiiliiillPfBtfitlHrRSliiiliiliMliMllliMMH ¦¦.¦¦¦¦¦¦ill .¦»» .ii». .,rr.,.i.fflj,
Mimis Cohen
This article presents the author's personal philosophy for treatment of various abdom¬
inal wall defects resulting from surgical complications and unfavorable results of previ¬
ous abdominal interventions. The purpose is not to discuss and analyze care and man¬
agement of all soft tissue complications encountered after abdominal surgery, but to
present the ones for which the plastic surgeon most likely will be asked to manage.
Mimis Cohen and Mark Grevious
Enterocutaneous fistulas can result from various conditions. Although some heal spon¬
taneously, others persist or recur. This article describes how using muscle flaps may aid
in managing recalcitrant gastrointestinal fistulas. Specific cases are cited.
¦wMnMBMhwumM I I ¦ I I I I n »i i I ill I » I» i i i I n i i i n n 11 mir rnrrrrrr'T i 111 t r r' r * I *.*s¦** 4:£j^.? ***.«#*;£¦ «*¦ ? *sa**.:*,s^!.5?£Mm7* |
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| physical | XI S., S. 169 - 306 zahlr. Ill., graph. Darst. |
| publishDate | 2006 |
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| series | Clinics in plastic surgery |
| series2 | Clinics in plastic surgery |
| spelling | Abdominal wall reconstruction guest ed. Mimis Cohen Philadelphia [u.a.] Elsevier Saunders 2006 XI S., S. 169 - 306 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in plastic surgery 33,2 Abdominal Wall surgery Surgery, Plastic Surgical Flaps Cohen, Mimis Sonstige oth Clinics in plastic surgery 33,2 (DE-604)BV000003656 33,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014809218&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Abdominal wall reconstruction Clinics in plastic surgery Abdominal Wall surgery Surgery, Plastic Surgical Flaps |
| title | Abdominal wall reconstruction |
| title_auth | Abdominal wall reconstruction |
| title_exact_search | Abdominal wall reconstruction |
| title_exact_search_txtP | Abdominal wall reconstruction |
| title_full | Abdominal wall reconstruction guest ed. Mimis Cohen |
| title_fullStr | Abdominal wall reconstruction guest ed. Mimis Cohen |
| title_full_unstemmed | Abdominal wall reconstruction guest ed. Mimis Cohen |
| title_short | Abdominal wall reconstruction |
| title_sort | abdominal wall reconstruction |
| topic | Abdominal Wall surgery Surgery, Plastic Surgical Flaps |
| topic_facet | Abdominal Wall surgery Surgery, Plastic Surgical Flaps |
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