Massive Abdominal-Wall Hernia Reconstruction with Expanded External/Internal Oblique and Transversalis Musculofascia
- 1 August 1997
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Plastic and Reconstructive Surgery
- Vol. 100 (2), 326-335
- https://doi.org/10.1097/00006534-199708000-00007
Abstract
We describe a technique for expansion and primary closure of massive and large recalcitrant abdominal-wall hernias in the middle and lower abdomen utilizing expanders placed in the lateral abdominal wall between the external oblique and the deeper complex of the internal oblique and transversalis fasciae. Since this technique describes expansion of the lateral abdominal wall, insertion incisions are made in the lateral abdominal wall away from the primary zone of injury surrounding the abdominal hernia and without interrupting the blood supply or innervation to the abdominal-wall muscle, fascia, or skin. This technique, described in four patients with massive abdominal-wall hernias, has been used successfully for primary closure with vascularized autogenous abdominalwall fascia, obviating the need for interposition of prosthetic material or extraabdominal flaps. (Plast. Reconstr. Surg. 100: 326, 1997.)Keywords
This publication has 9 references indexed in Scilit:
- Two-Stage Abdominal-Wall Reconstruction of Sepsis-Induced DehiscencePlastic and Reconstructive Surgery, 1995
- Abdominal-Wall Reconstruction with Expanded Musculofascial Tissue in a Posttraumatic DefectPlastic and Reconstructive Surgery, 1994
- Ventral/Incisional Abdominal Herniorrhaphy by Fascial Partition/ReleasePlastic and Reconstructive Surgery, 1993
- Tissue Expanders for Abdominal Wall Reconstruction Following Severe TraumaThe Journal of Trauma and Acute Care Surgery, 1992
- “Components Separation” Method for Closure of Abdominal-Wall DefectsPlastic and Reconstructive Surgery, 1990
- Abdominal Wall Expansion in Congenital DefectsPlastic and Reconstructive Surgery, 1989
- Fecal fistulaDiseases of the Colon & Rectum, 1981
- Experiences with the Tensor Fascia Lata FlapPlastic and Reconstructive Surgery, 1979
- A method of reconstructing the whole abdominal wallBritish Journal of Plastic Surgery, 1956