Open Complex Abdominal Wall Reconstruction

Clayton C Petro; Megan Melland-Smith

doi:10.1016/j.suc.2023.04.006

Open Complex Abdominal Wall Reconstruction

Surg Clin North Am. 2023 Oct;103(5):961-976. doi: 10.1016/j.suc.2023.04.006. Epub 2023 May 15.

Authors

Clayton C Petro¹, Megan Melland-Smith²

Affiliations

¹ Lerner College of Medicine, Cleveland Clinic Center for Abdominal Core Health, 9500 Euclid Avenue A-100, Cleveland, OH 44195, USA. Electronic address: petroc@ccf.org.
² Lerner College of Medicine, Cleveland Clinic Center for Abdominal Core Health, 9500 Euclid Avenue A-100, Cleveland, OH 44195, USA.

PMID: 37709399
DOI: 10.1016/j.suc.2023.04.006

Abstract

This article provides an approach to open complex abdominal wall reconstruction. Herein, the authors discuss the purpose of component separation as well as its relevant indications. The techniques and anatomical considerations of both anterior and posterior component separation are described. In addition, patient selection criteria, preoperative adjuncts that may assist with fascial or soft tissue closure, and complications of component separation will be discussed.

Keywords: Abdominal wall; Component separation; Ventral hernia.

Publication types

Review

MeSH terms

Abdominal Muscles
Abdominal Wall* / surgery
Fascia
Hernia, Ventral* / surgery
Humans
Patient Selection