Abstract
In cancer surgery, resection of the full thickness of the abdominal wall muscle layers is occasionally required because of their involvement by a tumor. The synthetic graft that may be placed to repair the abdominal wall defect will be in contact with bowel loops. Contact between loops of bowel and the undersurface of mesh may lead to the development of an enterocutaneous fistula, as shown in the reconstruction of full-thickness musculoaponeurotic abdominal wall defects.
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References
Karakousis CP, Volpe C, Tanski J, Colby ED, Winston J, Driscoll DL. Use of a mesh for musculoaponeurotic defects of the abdominal wall in cancer surgery and the risk of bowel fistulas. J Am Coll Surg. 1995;181:11–6.
Kulaylat MN, Karakousis CP. Large gaps of midline abdominal incisions and their management. Am Surg. 2008;74:1094–9.
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Karakousis, C.P. (2015). Involvement of the Abdominal Wall by Tumor. In: Atlas of Operative Procedures in Surgical Oncology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1634-4_21
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DOI: https://doi.org/10.1007/978-1-4939-1634-4_21
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