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Perioperative Radiologic Evaluation of Patients with Difficult Abdominal Wall Defects

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Surgery of Complex Abdominal Wall Defects

Abstract

The incidence of complex abdominal wall defects is only expected to increase as patients who are more debilitated and surgically complex undergo laparotomy, survive their primary abdominal catastrophes, and necessitate repair of the resultant defects. Radiologic imaging plays an instrumental role in nearly every aspect of the assessment and surgical management of these patients. Key among the imaging modalities are ultrasound (US) and computed tomography (CT). Either of these can be used to make the diagnosis, monitor and treat postoperative complications, and detect the presence of recurrence. US also can be used to locate the displaced linea semilunaris while performing an endoscopic component separation procedure. Although ultrasonography avoids exposure to ionizing radiation, CT offers greater anatomic detail, allows the vascularity to be assessed, and reveals the state of the bowel, including the presence and location of the bowel, fistulae, and stomas. Radiological imaging using CT or US is hence of paramount importance in the evaluation and management of patients with complex abdominal wall defects.

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Author information

Authors and Affiliations

  1. Allegheny Health Network, Esophageal and Lung Institute, 4815 Liberty Ave, Mellon Pavilion, Suite 158, Pittsburgh, PA, 15224, USA

    Fahim Habib

  2. Division of Trauma and Surgical Critical Care, Dewitt Daughtry Department of Surgery, William Lehman Injury Research Center, University of Miami, Leonard M. Miller School of Medicine, PO Box 016960 (D-40), Miami, FL, 33101, USA

    Antonio C. Marttos Jr.

  3. Division of Trauma Surgery, School of Medical Sciences, University of Campinas, 1 Rua Alexander Fleming, 181 Cidade Universitária “Prof. Zeferino Vaz”, Campinas, SP, 13.083-970, Brazil

    Bruno Monteiro Pereira

  4. Division of Trauma and Surgical Critical Care, Jackson Memorial Hospital—Ryder Trauma Center, University of Miami, Leonard M. Miller School of Medicine, 1800 NW 10th Ave, Room T265, Miami, FL, 33136, USA

    Mariana F. J. Moscardi

Authors
  1. Fahim Habib
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  2. Antonio C. Marttos Jr.
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  3. Bruno Monteiro Pereira
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  4. Mariana F. J. Moscardi
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Corresponding author

Correspondence to Mariana F. J. Moscardi .

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Editors and Affiliations

  1. Department of Surgery, Westchester Medical Center and New York Medical College, Valhalla, New York, USA

    Rifat Latifi

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Habib, F., Marttos, A.C., Pereira, B.M., Moscardi, M.F.J. (2017). Perioperative Radiologic Evaluation of Patients with Difficult Abdominal Wall Defects. In: Latifi, R. (eds) Surgery of Complex Abdominal Wall Defects. Springer, Cham. https://doi.org/10.1007/978-3-319-55868-4_6

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  • DOI: https://doi.org/10.1007/978-3-319-55868-4_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55867-7

  • Online ISBN: 978-3-319-55868-4

  • eBook Packages: MedicineMedicine (R0)

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