By Michael J. Rosen MD FACS

ISBN-10: 0323227430

ISBN-13: 9780323227438

An very important evaluation on stomach wall reconstruction for the final health professional! subject matters will contain preoperative optimization of a ventral hernia sufferer, prevention of incisional hernias, laparoscopic ventral hernia fix, open ventral hernia fix, ordinary hernias, epigastric and umbilical hernias, parastomal hernia fix, flap reconstruction, artificial mesh, medical results of biologic mesh, pediatric hernias, takedown of enterocutaneous fistula, a evaluate of laparoscopic as opposed to open inguinal hernia, and extra!

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Extra resources for Abdominal Wall Reconstruction, an Issue of Surgical Clinics,

Example text

2. , et al. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control. 2009; 37(5):387–397. 3. Poulose, B. , et al. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012; 16(2):179–183. 4. DeFrances, C. , Hall, M. , 2002 National Hospital Discharge Survey. Adv Data, 2004;(342):1–29. 5. Rutkow, I. M. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am.

Introduction Access to the abdominal cavity is often gained through a midline incision. An incision through the midline can be made rapidly and, because no major anatomic structures are crossing the midline, it causes minimal damage to muscles, nerves, and blood supply of the abdominal wall. 3,5 Patient and operative factors important for the subsequent rate of wound complications may be given by the circumstances, for example, patient age or overweight, urgency of surgery, and the degree of contamination.

54,68 The choice to adhere to the experimental and clinical evidence accrued concerning the effect on the rate of wound complications of the closure technique and the quality of the suture technique is totally within the hands of the surgeon. The recommendations are easy to follow, and the effect on the subsequent rate of wound complications makes it cost effective. The only way to ascertain that the wound is closed with an adequate SL to WL ratio is to always measure, calculate, and document the ratio at every midline incision.

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Abdominal Wall Reconstruction, an Issue of Surgical Clinics, by Michael J. Rosen MD FACS


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