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Semin Plast Surg 2012; 26(01): 08-11
DOI: 10.1055/s-0032-1302459
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Intraabdominal Challenges Affecting Abdominal Wall Reconstruction

Jennifer Movassaghi Moffett
1   Division of Surgical Oncology, Michael E.DeBakey Department of Surgery, Baylor College of Medicine; and General Surgery, Houston, Texas
,
Uri Gedalia
2   Private Practice, Houston, Texas
,
Amy Shengnan Xue
3   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Lior Heller
3   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
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Publication History

Publication Date:
23 February 2012 (online)

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Abstract

Abdominal wall defects may arise from trauma, infection, and prior abdominal surgeries, such as tumor resections. Although ideally reconstruction should be accomplished as soon as possible to restore the integrity and function of the abdominal wall, it is not always a viable option. A successful reconstruction must take into consideration the local environment of the defect, as well as the global condition of the patient. Therefore, it is imperative that a multidisciplinary team be involved to optimize the patient's care, particularly when a defect is complicated by a wound infection, an abscess, a fistula, or a neoplasm. Our goal in this article is to explore the challenges evoked by each of these special situations, and review the necessary steps for successful management.

Keywords

abdominal wall reconstruction - fistula - enterocutaneous fistula - vesicocutaneous fistula
 

  • References

  • 1 Bradley III EL, Allen K. A prospective longitudinal study of observation versus surgical intervention in the management of necrotizing pancreatitis. Am J Surg 1991; 161 (1) 19-24 , discussion 24–25
    CrossrefPubMedGoogle Scholar
  • 2 Rohrich RJ, Lowe JB, Hackney FL, Bowman JL, Hobar PC. An algorithm for abdominal wall reconstruction. Plast Reconstr Surg 2000; 105 (1) 202-216 , quiz 217
    CrossrefPubMedGoogle Scholar
  • 3 Szczerba SR, Dumanian GA. Definitive surgical treatment of infected or exposed ventral hernia mesh. Ann Surg 2003; 237 (3) 437-441
    PubMedGoogle Scholar
  • 4 Lowe III JB. Updated algorithm for abdominal wall reconstruction. Clin Plast Surg 2006; 33 (2) 225-240 , vi
    CrossrefPubMedGoogle Scholar
  • 5 Visschers RGJ, Olde Damink SW, Winkens B, Soeters PB, van Gemert WG. Treatment strategies in 135 consecutive patients with enterocutaneous fistulas. World J Surg 2008; 32 (3) 445-453
    CrossrefPubMedGoogle Scholar
  • 6 Graves G, Cunningham P, Raaf JH. Effect of chemotherapy on the healing of surgical wounds. Clin Bull 1980; 10 (4) 144-149
    PubMedGoogle Scholar
  • 7 Miller SH, Rudolph R. Healing in the irradiated wound. Clin Plast Surg 1990; 17 (3) 503-508
    PubMedGoogle Scholar
  • 8 Cohen M, Grevious M. The use of muscle flaps for the management of recalcitrant gastrointestinal fistulas. Clin Plast Surg 2006; 33 (2) 295-302
    CrossrefPubMedGoogle Scholar