Massive Ventral Hernias: Role of Tissue Expansion in Abdominal Wall Restoration following Abdominal Compartment Syndrome

Massive ventral hernias may result from a variety of clinical situations. One such clinical situation, a common problem in trauma patients, is abdominal compartment syndrome. Abdominal compartment syndrome frequently results in a massive abdominal defect when primary closure after surgical decompres...

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Veröffentlicht in:The American surgeon 2002-05, Vol.68 (5), p.491-496
Hauptverfasser: Admire, Anthony A., Dolich, Matthew O., Sisley, Amy C., Samimi, Kian J.
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container_title The American surgeon
container_volume 68
creator Admire, Anthony A.
Dolich, Matthew O.
Sisley, Amy C.
Samimi, Kian J.
description Massive ventral hernias may result from a variety of clinical situations. One such clinical situation, a common problem in trauma patients, is abdominal compartment syndrome. Abdominal compartment syndrome frequently results in a massive abdominal defect when primary closure after surgical decompression is not possible. We offer a technique for repairing these massive ventral hernias by first expanding the lateral abdominal wall muscles, fasciae, and skin with tissue expanders and then closing the defect with elements of the “components separation” method. Additionally we present other clinical situations resulting in a massive ventral hernia that were repaired using this technique.
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subjects Abdomen
Abdomen - surgery
Adult
Aged
Biological and medical sciences
Compartment Syndromes - complications
Compartment Syndromes - surgery
Decompression, Surgical
Hernia, Ventral - etiology
Hernia, Ventral - surgery
Hernias
Humans
Male
Medical sciences
Middle Aged
Reconstructive Surgical Procedures - methods
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tissue Expansion - methods
title Massive Ventral Hernias: Role of Tissue Expansion in Abdominal Wall Restoration following Abdominal Compartment Syndrome
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