Manual of Complex Abdominal Wall Reconstruction

Description:

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

Table of Contents:

Part 1: Before Surgery

1. Anatomy of the Anterior Abdominal Wall

Introduction

Skeleton

Muscles

Subcutaneous Tissues

Nerve Supply

Blood Supply

Normal Cross-Sectional Imaging

Conclusions

References

2. The Scale of the Problem

Introduction

Background

Why Repair Ventral Hernias?

Numbers and Costs

Aetiology of Ventral Hernia

Problems with Ventral Hernia Research

Overcoming These Challenges

Complex Ventral Hernia

Conclusions

References

3. Prevention is Better than Cure

Introduction

Risk Factors for Incisional Hernia Formation

Choice of Incision

Suture Choices

Closure Techniques

Mesh Insertion

Abdominal Binder Use Post-Operatively

European Hernia Surgery Guidelines

Conclusions

References

4. Evidence for Mesh Use

Introduction

Historical Perspectives

Meshes

Evidence for Mesh Use

Conclusions

References

5. Assessment and Perioperative Management

Introduction

Pre-operative Assessment of Physiological Status

Pre-operative Risk Reduction

Intra-operative Anaesthetic Considerations

Conclusions

References

6. Additional Pre-operative Considerations and Techniques

Introduction

Consent

Multidisciplinary Meeting

Mesh Infection

Technical Adjuncts

References

7. The Open Abdomen

Introduction

Abdominal Compartment Syndrome

Indications for an Open Abdomen

Management of the Open Abdomen

Long-Term Outcomes

Conclusions

References

Part 2: Surgical techniques

8. Rives-Stoppa Repair and Peritoneal Flap Hernioplasty

Introduction

Pre-operative Considerations

Technique of Rives-Stoppa Repair

Intra-operative Pitfalls

Evidence for the Rives-Stoppa Repair

Peritoneal Flap Repair

References

9. Laparoscopic Ventral Hernia Repair

Introduction

Pre-operative Considerations

Technique

Intra-operative Pitfalls

Post-operative Course and Complications

Variations in Technique

Outcomes after Laparoscopic Ventral Hernia Repair

Conclusions

References

10. Anterior Component Separation

Introduction

Pre-operative Considerations

Operative Technique

Outcomes

Conclusion

References

11. Endoscopic Component Separation

Introduction

Operative Technique

Indications and Limitations

Outcomes

Conclusions

References

12. Posterior Component Separation

Introduction

Pre-operative Considerations

Operative Technique

Outcomes

Conclusions

References

Part 3: Special situations

13. Soft Tissue Management

Introduction

Basic Science

Patient Selection

Single Surgeon Approaches

Dual Surgeon Approach

Skin Grafts and Laparostomy Wounds

Conclusions

References

14. Management of Enterocutaneous Fistula

Introduction

Intestinal Failure

Management Steps in Enterocutaneous Fistula

Procedure

Conclusions

References

15. Lateral Hernias

Introduction

Lumbar Hernias

Spigelian Hernias

Lateral Incisional Hernias

Conclusions

References

16. Perineal Hernia

Introduction

Primary Perineal Hernia

Secondary Perineal Hernia

Conclusions

References

17. Parastomal Hernia

Introduction

Risk Factors

Prevention of Parastomal Hernia

Management of Established Parastomal Hernia

Conclusions

References

Index