Advanced search
1 file | 158.70 KB

The anterolateral thigh flap for complicated abdominal wall reconstruction after giant incisional hernia repair

(2010) ACTA CHIRURGICA BELGICA. 110(3). p.376-382
Author
Organization
Abstract
In the management of giant incisional hernias with loss of domain several surgical obstacles have to be addressed. Adequate coverage of the defect using mesh, sufficient local tissue advancement and prevention of wound and mesh infections are prerequisites for success. We present a case of a complicated giant incisional hernia repair after oncologic surgery, in which we chose for an intra-abdominal mesh repair using a composite mesh. The patient developed a wound dehiscence and mesh infection, successfully treated with negative pressure therapy followed by a free ALT perforator flap. Several surgical techniques are discussed to manage these complicated hernias, such as progressive pneumoperitoneum, the component separation technique and the importance of soft tissue coverage (e.g. anterolateral thigh flap). In cases of wound complications, negative pressure therapy and new soft tissue coverage are discussed.
Keywords
SUTURE REPAIR, HEAVY-WEIGHT, PROSTHETIC REPAIR, COMPOSITE MESH, Incisional hernia, POLYPROPYLENE MESH, PROGRESSIVE PNEUMOPERITONEUM, MESH REPAIR, COMPONENTS SEPARATION, VENTRAL HERNIA, RANDOMIZED CLINICAL-TRIAL, free tissue transfert : abdominal wall

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 158.70 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Berrevoet, Frederik, Thomas Martens, Koenraad Van Landuyt, and Bernard de Hemptinne. 2010. “The Anterolateral Thigh Flap for Complicated Abdominal Wall Reconstruction After Giant Incisional Hernia Repair.” Acta Chirurgica Belgica 110 (3): 376–382.
APA
Berrevoet, F., Martens, T., Van Landuyt, K., & de Hemptinne, B. (2010). The anterolateral thigh flap for complicated abdominal wall reconstruction after giant incisional hernia repair. ACTA CHIRURGICA BELGICA, 110(3), 376–382.
Vancouver
1.
Berrevoet F, Martens T, Van Landuyt K, de Hemptinne B. The anterolateral thigh flap for complicated abdominal wall reconstruction after giant incisional hernia repair. ACTA CHIRURGICA BELGICA. 2010;110(3):376–82.
MLA
Berrevoet, Frederik, Thomas Martens, Koenraad Van Landuyt, et al. “The Anterolateral Thigh Flap for Complicated Abdominal Wall Reconstruction After Giant Incisional Hernia Repair.” ACTA CHIRURGICA BELGICA 110.3 (2010): 376–382. Print.
@article{5702808,
  abstract     = {In the management of giant incisional hernias with loss of domain several surgical obstacles have to be addressed. Adequate coverage of the defect using mesh, sufficient local tissue advancement and prevention of wound and mesh infections are prerequisites for success. 
We present a case of a complicated giant incisional hernia repair after oncologic surgery, in which we chose for an intra-abdominal mesh repair using a composite mesh. The patient developed a wound dehiscence and mesh infection, successfully treated with negative pressure therapy followed by a free ALT perforator flap. Several surgical techniques are discussed to manage these complicated hernias, such as progressive pneumoperitoneum, the component separation technique and the importance of soft tissue coverage (e.g. anterolateral thigh flap). In cases of wound complications, negative pressure therapy and new soft tissue coverage are discussed.},
  author       = {Berrevoet, Frederik and Martens, Thomas and Van Landuyt, Koenraad and de Hemptinne, Bernard},
  issn         = {0001-5458},
  journal      = {ACTA CHIRURGICA BELGICA},
  language     = {eng},
  number       = {3},
  pages        = {376--382},
  title        = {The anterolateral thigh flap for complicated abdominal wall reconstruction after giant incisional hernia repair},
  url          = {http://www.belsurg.org/journal.php?art=1592},
  volume       = {110},
  year         = {2010},
}

Web of Science
Times cited: