Abstract
Complex abdominal wall defects represent one of the more challenging dilemmas faced by general surgeons. Such defects may result from incisional hernia related to multiple abdominal operations, surgical resection of the abdominal wall, necrotizing abdominal wall infections, or therapeutic open abdomen, and can be complicated by the presence of an entero-atmospheric fistula. Many of these abdominal wall defects can be quite large and are often associated with a significant loss of abdominal domain. Careful planning and advanced surgical techniques are required, often involving the use (alone or combined) of biologic mesh and composite tissue transfer. Furthermore, while abdominal reconstruction in patients with or without fistulas and abdominal defects is challenging and complex, and is associated with significant morbidity and potential mortality, the abdominal wall reconstruction offers the only possible option to significantly improve the quality of life of this group of patients.
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Abbreviations
- ACS:
-
Abdominal compartment syndrome
- AW:
-
Abdominal wall
- EAF:
-
Entero-atmospheric fistula
- LOD:
-
Loss of domain
- OA:
-
Open abdomen
- VH:
-
Ventral hernia
References
Coccolini F, Agresta F, Bassi A, et al. Italian Biological Prosthesis Work-Group (IBPWG): proposal for a decisional model in using biological prosthesis. World J Emerg Surg. 2012;7:34.
Coccolini F, Roberts D, Ansaloni L, Ivatury R, Gamberini E, Kluger Y, Moore EE, Coimbra R, Kirkpatrick AW, Pereira BM, Montori G, Ceresoli M, Abu-Zidan FM, Sartelli M, Velmahos G, Fraga GP, Leppaniemi A, Tolonen M, Galante J, Razek T, Maier R, Bala M, Sakakushev B, Khokha V, Malbrain M, Agnoletti V, Peitzman A, Demetrashvili Z, Sugrue M, Di Saverio S, Martzi I, Soreide K, Biffl W, Ferrada P, Parry N, Montravers P, Melotti RM, Salvetti F, Valetti TM, Scalea T, Chiara O, Cimbanassi S, Kashuk JL, Larrea M, Hernandez JAM, Lin HF, Chirica M, Arvieux C, Bing C, Horer T, De Simone B, Masiakos P, Reva V, De Angelis N, Kike K, Balogh ZJ, Fugazzola P, Tomasoni M, Latifi R, Naidoo N, Weber D, Handolin L, Inaba K, Hecker A, Kuo-Ching Y, Ordoñez CA, Rizoli S, Gomes CA, De Moya M, Wani I, Mefire AC, Boffard K, Napolitano L, Catena F. The open abdomen in trauma and non-trauma patients: WSES guidelines. World J Emerg Surg. 2018;13:7.
Schlosser KA, Maloney SR, Prasad T, et al. Too big to breathe: predictors of respiratory failure and insufficiency after open ventral hernia repair. Surg Endosc. 2019. https://doi.org/10.1007/s00464-019-07181-3.
Parker SG, Halligan S, Blackburn S, Plumb AAO, Archer L, Mallett S, Windsor ACJ. What exactly is meant by “loss of domain” for ventral hernia? Systematic review of definitions. World J Surg. 2019;43(2):396–404.
López-Cano M, García-Alamino JM, Antoniou SA, Bennet D, Dietz UA, Ferreira F, Fortelny RH, Hernandez-Granados P, Miserez M, Montgomery A, Morales-Conde S, Muysoms F, Pereira JA, Schwab R, Slater N, Vanlander A, Van Ramshorst GH, Berrevoet F. EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen. Hernia. 2018;22(6):921–39.
Klein Y. Closure of the open abdomen: a practical approach. Curr Trauma Rep. 2016;2:196–201.
Belyansky I, Weltz AS, Sibia US, Turcotte JJ, Taylor H, Zahiri HR, Turner TR, Park A. The trend toward minimally invasive complex abdominal wall reconstruction: is it worth it? Surg Endosc. 2018;32(4):1701–7.
Henriksen NA, Jensen KK, Muysoms F. Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis. Hernia. 2019;23:17–27.
Khansa I, Janis JE. The 4 principles of complex abdominal wall reconstruction. Plast Reconstr Surg Glob Open. 2019;7(12):e2549.
Di Saverio S, Tarasconi A, Walczak DA, Cirocchi R, Mandrioli M, Birindelli A, Tugnoli G. Classification, prevention and management of entero-atmospheric fistula: a state-of-the-art review. Langenbecks Arch Surg. 2016;401(1):1–13.
Marinis A, Gkiokas G, Argyra E, Fragulidis G, Polymeneas G, Voros D. “Enteroatmospheric fistulae”—gastrointestinal openings in the open abdomen: a review and recent proposal of a surgical technique. Scand J Surg. 2013;102(2):61–8.
Leppäniemi A, Tukiainen E. Reconstruction of complex abdominal wall defects. Scand J Surg. 2013;102(1):14–9.
Latifi R, Joseph B, Kulvatunyou N, Wynne JL, O’Keeffe T, Tang A, Friese R, Rhee PM. Enterocutaneous fistulas and a hostile abdomen: reoperative surgical approaches. World J Surg. 2012;36(3):516–23.
De Simone B, Birindelli A, Ansaloni L, Sartelli M, Coccolini F, Di Saverio S, Annessi V, Amico F, Catena F. Emergency repair of complicated abdominal wall hernias: WSES guidelines. Hernia. 2020;24(2):359–68.
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Catena, F. et al. (2021). Long-Term Outcomes After Open Abdomen for ACS: Complex Abdominal Wall Reconstructions and Entero-Atmospheric Fistulas. In: Coccolini, F., Malbrain, M.L., Kirkpatrick, A.W., Gamberini, E. (eds) Compartment Syndrome. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-55378-4_18
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