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Loss of Abdominal Domain

  • Victor B. Tsirline
  • Igor Belyansky
  • David A. Klima
  • B. Todd Heniford
Chapter

Abstract

Over two million laparotomies are performed every year in the United States. 5–20% of these cases lead to incisional hernia formation, some leading to large abdominal wall defects with loss of domain. Approximately 160,000 ventral hernia repairs are performed annually, with a recurrence rate of 5–20% in uncomplicated hernias and low-risk individuals. The success of the hernia operations diminishes with larger hernia defects, obesity, and multiple reoperations. In patients with complex abdominal hernias and loss of domain, recurrence rates of up to 67% have been reported. Such cases require particular expertise in evaluation, counseling, and multimodality treatment in order to achieve long-term success. This chapter will address some of the theoretical principles and practical considerations in the management of patients with loss of abdominal domain.

Keywords

Loss of domain Abdominal hernia Ventral hernia Incisional hernia Large hernia 

References

  1. 1.
    Heniford BT, et al. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391–9. discussion 399–400.PubMedGoogle Scholar
  2. 2.
    Baghai M, et al. Technique of laparoscopic ventral hernia repair can be modified to successfully repair large defects in patients with loss of domain. Surg Innov. 2009;16(1):38–45.PubMedCrossRefGoogle Scholar
  3. 3.
    Park A, Birch DW, Lovrics P. Laparoscopic and open incisional hernia repair: a comparison study. Surgery. 1998;124(4):816–21. discussion 821–2.PubMedCrossRefGoogle Scholar
  4. 4.
    Chevrel JP, Caix M. Surgery of the abdominal wall. Berlin: Springer; 1987.Google Scholar
  5. 5.
    Korenkov M, et al. Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbecks Arch Surg. 2001;386(1):65–73.PubMedCrossRefGoogle Scholar
  6. 6.
    Parker 3rd HH, et al. Laparoscopic repair of large incisional hernias. Am Surg. 2002;68(6):530–3. discussion 533–4.PubMedGoogle Scholar
  7. 7.
    Bernard C, et al. Repair of giant incisional abdominal wall hernias using open intraperitoneal mesh. Hernia. 2007;11(4):315–20.PubMedCrossRefGoogle Scholar
  8. 8.
    Kingsnorth AN, et al. Open mesh repair of incisional hernias with significant loss of domain. Ann R Coll Surg Engl. 2004;86(5):363–6.PubMedCrossRefGoogle Scholar
  9. 9.
    McAdory RS, Cobb WS, Carbonell AM. Progressive preoperative pneumoperitoneum for hernias with loss of domain. Am Surg. 2009;75(6):504–8. discussion 508–9.PubMedGoogle Scholar
  10. 10.
    Vertrees A, et al. Early definitive abdominal closure using serial closure technique on injured soldiers returning from Afghanistan and Iraq. J Am Coll Surg. 2006;202(5):762–72.PubMedCrossRefGoogle Scholar
  11. 11.
    Xiao SC, et al. Repair of complex abdominal wall defects from high-voltage electric injury with two layers of acellular dermal matrix: a case report. J Burn Care Res. 2009;30(2):352–4.PubMedCrossRefGoogle Scholar
  12. 12.
    Tang R, et al. Immediate repair of major abdominal wall defect after extensive tumor excision in patients with abdominal wall neoplasm: a prospective review of 27 cases. Ann Surg Oncol. 2009;16(10):2895–907.PubMedCrossRefGoogle Scholar
  13. 13.
    Rosen M. Loss of domain - definition and management. SAGES 12th world congress of endoscopic surgery. Washington, DC. April 15, 2010.Google Scholar
  14. 14.
    Dumont F, et al. Progressive pneumoperitoneum increases the length of abdominal muscles. Hernia. 2009;13(2):183–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Sabbagh C, et al. Peritoneal volume is predictive of tension-free fascia closure of large incisional hernias with loss of domain: a prospective study. Hernia. 2011;15(5):559–65.PubMedCrossRefGoogle Scholar
  16. 16.
    Toniato A, et al. Incisional hernia treatment with progressive pneumoperitoneum and retromuscular prosthetic hernioplasty. Langenbecks Arch Surg. 2002;387(5–6):246–8.PubMedCrossRefGoogle Scholar
  17. 17.
    Tanaka EY, et al. A computerized tomography scan method for calculating the hernia sac and abdominal cavity volume in complex large incisional hernia with loss of domain. Hernia. 2010;14(1):63–9.PubMedCrossRefGoogle Scholar
  18. 18.
    Cobb WS, et al. Normal intraabdominal pressure in healthy adults. J Surg Res. 2005;129(2):231–5.PubMedCrossRefGoogle Scholar
  19. 19.
    Lindstrom D, et al. Effects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. Ann Surg. 2008;248(5):739–45.PubMedCrossRefGoogle Scholar
  20. 20.
    Mayagoitia JC, et al. Preoperative progressive pneumoperitoneum in patients with abdominal-wall hernias. Hernia. 2006;10(3):213–7.PubMedCrossRefGoogle Scholar
  21. 21.
    Caldironi MW, et al. Progressive pneumoperitoneum in the management of giant incisional hernias: a study of 41 patients. Br J Surg. 1990;77(3):306–7.PubMedCrossRefGoogle Scholar
  22. 22.
    Willis S, Schumpelick V. Use of progressive pneumoperitoneum in the repair of giant hernias. Hernia. 2000;4(2):105–11.CrossRefGoogle Scholar
  23. 23.
    Luijendijk RW, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343(6):392–8.PubMedCrossRefGoogle Scholar
  24. 24.
    Joels CS, et al. Abdominal wall reconstruction after temporary abdominal closure: a ten-year review. Surg Innov. 2006;13(4):223–30.PubMedCrossRefGoogle Scholar
  25. 25.
    de Vries Reilingh TS, et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia. 2004;8(1):56–9.PubMedCrossRefGoogle Scholar
  26. 26.
    Moreno-Egea A, et al. Repair of complex incisional hernias using double prosthetic repair: single-surgeon experience with 50 cases. Surgery. 2010;148(1):140–4.PubMedCrossRefGoogle Scholar
  27. 27.
    Cobb WS, Kercher KW, Heniford BT. The argument for lightweight polypropylene mesh in hernia repair. Surg Innov. 2005;12(1):63–9.PubMedCrossRefGoogle Scholar
  28. 28.
    Novitsky YW, et al. Open preperitoneal retrofascial mesh repair for multiply recurrent ventral incisional hernias. J Am Coll Surg. 2006;203(3):283–9.PubMedCrossRefGoogle Scholar
  29. 29.
    Klima DA, et al. Application of subcutaneous talc in hernia repair and wide subcutaneous dissection dramatically reduces seroma formation and post-operative wound complications. Am Surg. 2011;77(7):888–94.PubMedGoogle Scholar
  30. 30.
    Yee JA, et al. Bone anchor mesh fixation for complex laparoscopic ventral hernia repair. Surg Innov. 2008;15(4):292–6.PubMedCrossRefGoogle Scholar
  31. 31.
    Joels CS, et al. Evaluation of adhesion formation, mesh fixation strength, and hydroxyproline content after intraabdominal placement of polytetrafluoroethylene mesh secured using titanium spiral tacks, nitinol anchors, and polypropylene suture or polyglactin 910 suture. Surg Endosc. 2005;19(6):780–5.PubMedCrossRefGoogle Scholar
  32. 32.
    Pomahac B, Aflaki P. Use of a non-cross-linked porcine dermal scaffold in abdominal wall reconstruction. Am J Surg. 2010;199(1):22–7.PubMedCrossRefGoogle Scholar
  33. 33.
    Lipman J, Medalie D, Rosen MJ. Staged repair of massive incisional hernias with loss of abdominal domain: a novel approach. Am J Surg. 2008;195(1):84–8.PubMedCrossRefGoogle Scholar
  34. 34.
    Lowe 3rd JB, et al. Risks associated with “components separation” for closure of complex abdominal wall defects. Plast Reconstr Surg. 2003;111(3):1276–83. quiz 1284–5; discussion 1286–8.PubMedCrossRefGoogle Scholar
  35. 35.
    Rios A, et al. Factors that affect recurrence after incisional herniorrhaphy with prosthetic material. Eur J Surg. 2001;167(11):855–9.PubMedCrossRefGoogle Scholar
  36. 36.
    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):519–26.PubMedCrossRefGoogle Scholar
  37. 37.
    Levine JP, Karp NS. Restoration of abdominal wall integrity as a salvage procedure in difficult recurrent abdominal wall hernias using a method of wide myofascial release. Plast Reconstr Surg. 2001;107(3):707–16. discussion 717–8.PubMedCrossRefGoogle Scholar
  38. 38.
    Klima DA, et al. Prospective comparison of component separation versus conventional open ventral hernia repair in patients with large ventral hernias. San Francisco: American Hernia Society; 2011.Google Scholar
  39. 39.
    Girotto JA, et al. Recalcitrant abdominal wall hernias: long-term superiority of autologous tissue repair. Plast Reconstr Surg. 2003;112(1):106–14.PubMedCrossRefGoogle Scholar
  40. 40.
    Lowe JB, et al. Endoscopically assisted “components separation” for closure of abdominal wall defects. Plast Reconstr Surg. 2000;105(2):720–9. quiz 730.PubMedCrossRefGoogle Scholar
  41. 41.
    Wangensteen OH. Repair of large abdominal defects by pedicled fascial flaps. Surg Gynecol Obstet. 1946;82:144–50.PubMedGoogle Scholar
  42. 42.
    Van Geffen HJ, Simmermacher RK. Incisional hernia repair: abdominoplasty, tissue expansion, and methods of augmentation. World J Surg. 2005;29(8):1080–5.PubMedCrossRefGoogle Scholar
  43. 43.
    Kuo YR, et al. One-stage reconstruction of large midline abdominal wall defects using a composite free anterolateral thigh flap with vascularized fascia lata. Ann Surg. 2004;239(3):352–8.PubMedCrossRefGoogle Scholar
  44. 44.
    Berrevoet F, et al. The anterolateral thigh flap for complicated abdominal wall reconstruction after giant incisional hernia repair. Acta Chir Belg. 2010;110(3):376–82.PubMedGoogle Scholar
  45. 45.
    Miller PR, et al. Prospective evaluation of vacuum-assisted fascial closure after open abdomen: planned ventral hernia rate is substantially reduced. Ann Surg. 2004;239(5):608–14. discussion 614–6.PubMedCrossRefGoogle Scholar
  46. 46.
    Fabian TC, et al. Planned ventral hernia. Staged management for acute abdominal wall defects. Ann Surg. 1994;219(6):643–50. discussion 651–3.PubMedCrossRefGoogle Scholar
  47. 47.
    Jernigan TW, et al. Staged management of giant abdominal wall defects: acute and long-term results. Ann Surg. 2003;238(3):349–55. discussion 355–7.PubMedGoogle Scholar
  48. 48.
    Ferrari GC, et al. Laparoscopic management of incisional hernias ≥15 cm in diameter. Hernia. 2008;12(6):571–6.PubMedCrossRefGoogle Scholar
  49. 49.
    DiCocco JM, et al. Long-term follow-up of abdominal wall reconstruction after planned ventral hernia: a 15-year experience. J Am Coll Surg. 2010;210(5):686–95. 695–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Victor B. Tsirline
    • 1
  • Igor Belyansky
    • 2
  • David A. Klima
    • 3
  • B. Todd Heniford
    • 4
  1. 1.Department of SurgeryNorthwestern Lake Forest HospitalLake ForestUSA
  2. 2.Department of General Surgery, General Surgery FacultyAnne Arundel Medical CenterAnnapolisUSA
  3. 3.Department of General SurgeryCarolinas Medical CenterCharlotteUSA
  4. 4.Department of SurgeryUniversity of North Carolina at Chapel HillCharlotteUSA

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