作者: Neil J. Smart , Ian R. Daniels
DOI: 10.1007/978-3-662-53210-2_38
关键词: Abdominal wall 、 Hernia 、 Hernia repair 、 Surgery 、 Physical examination 、 Medicine 、 Tissue expansion 、 Complication 、 Abdominal surgery 、 Incisional hernia
摘要: Incisional hernia following abdominal surgery is a common complication with multifactorial etiology and has been defined as “any wall gap or without bulge in the area of postoperative scar perceptible palpable by clinical examination imaging.” This broad definition encompasses range defect sizes, patients, situations. Consequently, differentiation between incisional repair reconstruction vague. chapter covers perioperative management patients herniae, operative strategies for repair, choice mesh. Adjuncts tissue expansion excess adipose most complex cases are also reviewed. No single technique suitable all tailored approaches advocated. Preoperative patient optimization terms diabetic control, smoking cessation, obesity associated significant improvements recurrence rates should be considered important determinants good outcome.