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The Best of Abdominal Wall Reconstruction

Patel, Nakul Gamanlal B.Sc.(Hons.), M.B.B.S.(Lond.); Ratanshi, Imran M.D., M.Sc.; Buchel, Edward W. M.D.

Plastic and Reconstructive Surgery: January 2018 - Volume 141 - Issue 1 - p 113e-136e
doi: 10.1097/PRS.0000000000003976
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Learning Objectives: After reviewing this article, the participant should be able to: 1. List major risk factors for hernia formation and for failure of primary repair. 2. Outline an algorithmic approach to anterior abdominal wall reconstruction based on the degree of contamination, components involved in the deficit, and width of the hernia defect. 3. Describe appropriate indications for synthetic and biological mesh products. 4. List common flaps used in anterior abdominal wall reconstruction, including functional restoration strategies. 5. Describe the current state of the art of vascularized composite tissue allotransplantation strategies for abdominal wall reconstruction.

Summary: Plastic surgeons have an increasingly important role in abdominal wall reconstruction—from recalcitrant, large incisional hernias to complete loss of abdominal wall domain. A review of current algorithms is warranted to match evolving surgical techniques and a growing number of available implant materials. The purpose of this article is to provide an updated review of treatment strategies to provide an approach to the full spectrum of abdominal wall deficits encountered in the modern plastic surgery practice.

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Leicester, United Kingdom; and Winnipeg, Manitoba, Canada

From the Department of Plastic Surgery, Leicester Royal Infirmary, University Hospitals of Leicester; and the Department of Surgery, Section of Plastic Surgery, Health Sciences Center, University of Manitoba.

Received for publication February 6, 2017; accepted August 21, 2017.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Edward W. Buchel, M.D., Department of Surgery, Section of Plastic Surgery, University of Manitoba, Health Sciences Center, 820 Sherbrook Street, Room 401C, Winnipeg, Manitoba R3A 1R9, Canada, ebuchel@hsc.mb.ca

Copyright © 2017 by the American Society of Plastic Surgeons