Types of Closure
Fig. 4.1 Barker Vac Pack Scissors are used to create fenestrations in the 10 × 10 drape to allow for outward egress of fluids. The Steri-Drape is then placed circumferentially under the…
Endoscopic Component Separation for Ventral Hernia Repair
Fig. 7.1 Abdominal wall musculature. The abdominal wall comprises four major muscle groups: rectus abdominis, external oblique, internal oblique, and transversus abdominis muscles Fig. 7.2 Cross-sectional view of the abdominal…
The Biologics Explosion Era
Product Source Cross-linked Sterilization method Alloderm (Lifecell, Branchburg, NJ) Human dermis No Ionic Allomax (Davol, Warwick, RI) Human dermis No E beam Flex HD (Ethicon, Sommerville, NJ) Human dermis No…
Considerations in Abdominal Wall Reconstruction
Type Porous structure Examples Type I Macroporous (> 75 µ) Marlexa, Proleneb Trelexc Type II Microporous (< 10 µ in at least one direction) ePTFE, Dual-Meshd Type III Macro and microporous PTFEd, Mersileneb Surgiproe…
Damage Control
Fig. 2.1 Damage control for intra-abdominal sepsis from acute bowel ischemia Fig. 2.2 a Abdomen left open secondary to significant bowel edema. b , c Necrotizing soft tissue infection of…
Abdominal Compartment Syndrome
Definition 1 IAP is the steady-state pressure concealed within the abdominal cavity Definition 2 APP = MAP − IAP Definition 3 FG = GFP − PTP = MAP − 2 * IAP Definition 4 IAP should be expressed in mm Hg and measured at end-expiration…
Complications
Fig. 8.1 Enteroatmospheric fistula treated with tube cannulation in a patient with an open abdomen Deep exposed fistulae evolve into a complex pathology that lead to tremendous metabolic drain from…
Historical Perspective
Fig. 1.1 Artist rendition of towel-clip, skin-only closure. (Used with permission K. Dangleben) Esmarch Closure Originally described by Cohn et al. in 1995 [7] , an Esmarch bandage (latex or latex…
Laparoscopic Sleeve Gastrectomy: Management of Complications
Early complications • Gastric leak • Gastric fistula • Bleeding • Obstruction/stricture Late complications • GERD • Nutrient deficiencies Gastric Leak (GL) Leaks are the most concerning and potentially life-threatening…
