Abdominal wall reconstruction represents a broad spectrum of patients, defect characteristics and surgical options. Several innovative minimally invasive reconstructive techniques and the exponential growth of bioprosthetics have revolutionized abdominal wall reconstruction. The surgical approaches to these problems have evolved from simply patching the defect to reconstructing functional dynamic abdominal walls. It is important to point out that the reconstructive surgeon must individualize his or her approach to abdominal wall reconstruction. It is likely no single technique or prosthetic will accomplish the goals for all repairs. As this field has continued to expand, it now represents a collaborative effort among general surgeons, plastic surgeons, trauma surgeons, and herniologists. This atlas represents the compilation of these efforts and, like reconstructive surgery, would not be possible without each of their respective contributions.
The Atlas of Abdominal Wall Reconstruction focuses on many of the technical aspects of ventral hernia repair. We have paid particular attention to key anatomic planes in each of these procedures, as well as preserving the neurovascular anatomy when reconstructing the abdominal wall. Each of these procedures has been described in detail, with particular attention to avoiding common surgical pitfalls and employing strategies to deal with technical challenges once they are encountered. In addition, each chapter is accompanied by a representative video of the reconstructive approach to guide the surgeon in the technical nuances of the procedure. In this textbook, both laparoscopic, open, and hybrid approaches are described. This atlas will provide the surgeon with the skills necessary to repair not only straightforward defects but also some of the most complex reconstructive challenges, including loss of domain, contaminated ventral hernia repair, and dealing with reconstruction in the setting of major tissue loss.
While there are often many ways to repair an abdominal wall defect, this atlas describes a multitude of safe and effective strategies to deal with these challenging problems across the entire spectrum of ventral hernia repair as described by experts in the field. In addition, a clear and clinically relevant summary of the available synthetic and biologic grafts will aid the surgeon in appropriate prosthetic selection. I hope that this atlas provides the practicing surgeon with a useful guide to optimize outcomes for their patients.
Key Features
- Tap into the experience of masters from videos demonstrating key moments and techniques in abdominal wall surgery.
- Manage the full range of treatments for abdominal wall disorders with coverage of congenital as well as acquired problems.
- Get a clear picture of internal structures thanks to high-quality, full-color anatomic illustrations and clinical intra-operative photographs.
- Make optimal choices of surgical meshes with the best current information on the range of materials available for surgical repair.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
Contents
Section I - Anatomy
Chapter 1 - Abdominal Wall Anatomy and Vascular Supply
- 1 Clinical Anatomy
- 2 Abdominal Wall Physiology
- 3 Abdominal Wall Disruption Relevant to Anatomy
Section II - Laparoscopic Repairs
Chapter 2 - Laparoscopic Ventral Hernia Repair—Standard
- 1 Surgical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls / Pitfalls
Chapter 3 - Laparoscopic Repair of Atypical Hernias: Suprapubic, Subxiphoid, and Lumbar
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls / Pitfalls
Chapter 4 - Laparoscopic Repair of Parastomal Hernias
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls / Pitfalls
Section III - Open Repairs
Chapter 5 - Open Retromuscular Ventral Hernia Repair
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Outcomes
- 6 Pearls and Pitfalls
Chapter 6 - Open Flank Hernia Repair
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls and Pitfalls
Chapter 7 - Open Repair of Parastomal Hernias
- 1 Introduction
- 2 Clinical Anatomy
- 3 Preoperative Considerations
- 4 Operation Steps
- 5 Postoperative Care
- 6 Pearls and Pitfalls
Section IV - Component Separation
Chapter 8 - Open Component Separation
- 1 Surgical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Considerations
- 5 Pearls and Pitfalls
Chapter 9 - Periumbilical Perforator Sparing Components Separation
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls/Pitfalls
Chapter 10 - Modified Minimally Invasive Component Separation
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls/Pitfalls
Chapter 11 - Endoscopic Component Separation
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls/Pitfalls
Section V - Other Abdominal Wall Procedures
Chapter 12 - Panniculectomy and Abdominal Wall Reconstruction
- 1 Clinical Anatomy of the Anterior Abdominal Wall
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Management of Complications
- 6 Pearls and Pitfalls
Chapter 13 - Tissue and Fascial Expansion of the Abdominal Wall
- 1 Introduction and Clinical Description
- 2 Tissue Expansion
- 3 Operative Steps
- 4 Pearls/Pitfalls
- 5 Fascial Expansion
- 6 Pearls/Pitfalls
Chapter 14 - Progressive Preoperative Pneumoperitoneum for Hernias with Loss of Abdominal Domain
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Pearls/Pitfalls
Chapter 15 - Rotational and Free Flap Closure of the Abdominal Wall
- 1 Preoperative Considerations
- 2 Muscular Flaps
- 3 Fasciocutaneous Flaps
- 4 Postoperative Care
- 5 Pearls/Pitfalls
Chapter 16 - Managing the Open Abdomen
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pitfalls/Pearls
Chapter 17 - Managing Pediatric and Neonatal Abdominal Wall Defects
- 1 Clinical Anatomy
- 2 Preoperative Considerations
- 3 Operative Steps
- 4 Postoperative Care
- 5 Pearls/Pitfalls
Section VI - Mesh Choices
Chapter 18 - Biologic Mesh Choices for Surgical Repair
- 1 Indications for the Use of Biologic Mesh Materials
- 2 Tissue Sources for Biologic Mesh Materials
- 3 Biologic Mesh Modification and Processing
- 4 Mechanism of Action of Biologic Meshes
- 5 Reported Clinical Results with Biologic Meshes
Chapter 19 - Synthetic Mesh Choices for Surgical Repair
- 1 Introduction to Synthetic Mesh Materials
- 2 Mesh Characteristics
- 3 Clinical Implications of Biomaterials
- 4 Other Considerations
About the Author
Michael J. Rosen, MD, FACS, Associate Professor of Surgery, Chief, Division of GI and General Surgery, Case Western Reserve University, Case Medical Center, Cleveland, Ohio, USA.
Product Details
- Hardcover: 352 pages
- Publisher: Saunders; Har/Dol edition (September 12, 2011)
- Language: English
- ISBN-10: 1437727514
- ISBN-13: 978-1437727517
List Price: $225.00