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Definitive Closure, Long-Term Results, and Management of Ventral Hernia

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Open Abdomen

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

After treatment of open abdomen, large defects remain, often with loss of domain and without the possibility of tension-free closure. Loss of domain, in combination with other factors, increases the risk of complications after closure surgery.

To achieve definitive closure of the abdominal wall, advancement of the abdominal wall has to be performed with mesh placement. Possible techniques to gain advancement are Rives–Stoppa, anterior component separation (modified Ramirez), or posterior component separation (transverse abdominis release (TAR)).

When tension-free closure is still not possible, additional treatments like bridging with mesh, preoperative progressive pneumoperitoneum, and/or botulin toxin injections can be helpful.

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Authors and Affiliations

  1. Department of Surgery, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands

    Leonard Frederik Kroese MD & Johan Frederik Lange MD, PhD

  2. Department of Neuroscience, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands

    Johannes Jeekel MD, PhD

  3. Department of Surgery, Havenziekenhuis Rotterdam, Rotterdam, The Netherlands

    Johan Frederik Lange MD, PhD

Authors
  1. Leonard Frederik Kroese MD
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  2. Johannes Jeekel MD, PhD
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  3. Johan Frederik Lange MD, PhD
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Correspondence to Leonard Frederik Kroese MD .

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Editors and Affiliations

  1. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Federico Coccolini

  2. General Surgery, Virginia Commonvealth University, Richmond, Virginia, USA

    Rao Ivatury

  3. Letterkenny General Hospital, Letterkenny, Donegal, Ireland

    Michael Sugrue

  4. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Luca Ansaloni

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Kroese, L.F., Jeekel, J., Lange, J.F. (2018). Definitive Closure, Long-Term Results, and Management of Ventral Hernia. In: Coccolini, F., Ivatury, R., Sugrue, M., Ansaloni, L. (eds) Open Abdomen. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-48072-5_19

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  • DOI: https://doi.org/10.1007/978-3-319-48072-5_19

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