Subscribe to RSS
DOI: 10.1055/s-0032-1302463
Abdominal Wall Reconstruction with Mesh and Components Separation
Publication History
Publication Date:
23 February 2012 (online)
![](https://www.thieme-connect.de/media/sps/201201/lookinside/thumbnails/10.1055-s-0032-1302463-1.jpg)
Abstract
Incisional hernias in the abdominal wall are a by-product of multiple previous laparotomies. Unfortunately, the incidence of incisional hernias has risen, as we have progressed with new surgical techniques in the treatment of abdominal pathologies. Many methods have been attempted in the past to achieve a better and more durable repair, namely using components separation to bring the fascia into the midline, and reinforce incisional hernias with different mesh materials. The authors review the recent literature regarding the efficacy of these synthetic materials and biomaterials in incisional hernia repair, as well as share their experience in treating complex abdominal wall defects using components separation and biologic mesh.
-
References
- 1 George CD, Ellis H. The results of incisional hernia repair: a twelve year review. Ann R Coll Surg Engl 1986; 68 (4) 185-187
- 2 Langer S, Christiansen J. Long-term results after incisional hernia repair. Acta Chir Scand 1985; 151 (3) 217-219
- 3 Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg 1985; 72 (1) 70-71
- 4 Paul A, Korenkov M, Peters S, Köhler L, Fischer S, Troidl H. Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias. Eur J Surg 1998; 164 (5) 361-367
- 5 Usher FC, Ochsner J, Tuttle Jr LL. Use of Marlex mesh in the repair of incisional hernias. Am Surg 1958; 24 (12) 969-974
- 6 Usher FC. New technique for repairing incisional hernias with Marlex mesh. Am J Surg 1979; 138 (5) 740-741
- 7 Voyles CR, Richardson JD, Bland KI, Tobin GR, Flint LM, Polk Jr HC. Emergency abdominal wall reconstruction with polypropylene mesh: short-term benefits versus long-term complications. Ann Surg 1981; 194 (2) 219-223
- 8 Law NW. A comparison of polypropylene mesh, expanded polytetrafluoroethylene patch and polyglycolic acid mesh for the repair of experimental abdominal wall defects. Acta Chir Scand 1990; 156 (11-12) 759-762
- 9 Bauer JJ, Salky BA, Gelernt IM, Kreel I. Repair of large abdominal wall defects with expanded polytetrafluoroethylene (PTFE). Ann Surg 1987; 206 (6) 765-769
- 10 Butler CE, Prieto VG. Reduction of adhesions with composite AlloDerm/polypropylene mesh implants for abdominal wall reconstruction. Plast Reconstr Surg 2004; 114 (2) 464-473
- 11 Alponat A, Lakshminarasappa SR, Teh M , et al. Effects of physical barriers in prevention of adhesions: an incisional hernia model in rats. J Surg Res 1997; 68 (2) 126-132
- 12 Butler CE, Navarro FA, Orgill DP. Reduction of abdominal adhesions using composite collagen-GAG implants for ventral hernia repair. J Biomed Mater Res 2001; 58 (1) 75-80
- 13 Bleichrodt RP, Simmermacher RK, van der Lei B, Schakenraad JM. Expanded polytetrafluoroethylene patch versus polypropylene mesh for the repair of contaminated defects of the abdominal wall. Surg Gynecol Obstet 1993; 176 (1) 18-24
- 14 Smith S, Gantt N, Rowe MI, Lloyd DA. Dura versus Gore-Tex as an abdominal wall prosthesis in an open and closed infected model. J Pediatr Surg 1989; 24 (6) 519-521
- 15 Luijendijk RW, Hop WC, van den Tol MP , et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 2000; 343 (6) 392-398
- 16 Flum DR, Horvath K, Koepsell T. Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg 2003; 237 (1) 129-135
- 17 Williams JK, Carlson GW, deChalain T, Howell R, Coleman JJ. Role of tensor fasciae latae in abdominal wall reconstruction. Plast Reconstr Surg 1998; 101 (3) 713-718
- 18 Ninković M, Kronberger P, Harpf C, Rumer A, Anderl H. Free innervated latissimus dorsi muscle flap for reconstruction of full-thickness abdominal wall defects. Plast Reconstr Surg 1998; 101 (4) 971-978
- 19 Disa JJ, Goldberg NH, Carlton JM, Robertson BC, Slezak S. Restoring abdominal wall integrity in contaminated tissue-deficient wounds using autologous fascia grafts. Plast Reconstr Surg 1998; 101 (4) 979-986
- 20 Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg 1990; 86 (3) 519-526
- 21 Lowe III JB, Lowe JB, Baty JD, Garza JR. Risks associated with “components separation” for closure of complex abdominal wall defects. Plast Reconstr Surg 2003; 111 (3) 1276-1283, quiz 1284–1285, discussion 1286–1288
- 22 de Vries Reilingh TS, van Goor H, Rosman C , et al. “Components separation technique” for the repair of large abdominal wall hernias. J Am Coll Surg 2003; 196 (1) 32-37
- 23 Ko JH, Wang EC, Salvay DM, Paul BC, Dumanian GA. Abdominal wall reconstruction: lessons learned from 200 “components separation” procedures. Arch Surg 2009; 144 (11) 1047-1055
- 24 Espinosa-de-los-Monteros A, de la Torre JI, Marrero I, Andrades P, Davis MR, Vásconez LO. Utilization of human cadaveric acellular dermis for abdominal hernia reconstruction. Ann Plast Surg 2007; 58 (3) 264-267
- 25 Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004; 240 (4) 578-583, discussion 583–585
- 26 Hein KD, Morris DJ, Goldwyn RM, Kolker A. Dermal autografts for fascial repair after TRAM flap harvest. Plast Reconstr Surg 1998; 102 (7) 2287-2292
- 27 Buinewicz B, Rosen B. Acellular cadaveric dermis (AlloDerm): a new alternative for abdominal hernia repair. Ann Plast Surg 2004; 52 (2) 188-194
- 28 Schuster R, Singh J, Safadi BY, Wren SM. The use of acellular dermal matrix for contaminated abdominal wall defects: wound status predicts success. Am J Surg 2006; 192 (5) 594-597
- 29 Breuing K, Butler CE, Ferzoco S , et al; Ventral Hernia Working Group. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery 2010; 148 (3) 544-558
- 30 Burns NK, Jaffari MV, Rios CN, Mathur AB, Butler CE. Non-cross-linked porcine acellular dermal matrices for abdominal wall reconstruction. Plast Reconstr Surg 2010; 125 (1) 167-176