[Incisional hernias after median laparotomy. A concept for anatomic reconstruction of the abdominal wall].
The abdominal wall is a complex system of fibres and has its function in stabilisation of the lower back and pressure build-up for coughing and evacuation of the bowels. In case of incicional hernias after median laparotomy, which occur in 10-20%, reconstruction is a great challange for the surgeon. As methods of repair doubling of fascias, implantation of mesh grafts and muscle transfers have been described. In the following article we present a concept for anatomic and functional restoration of the abdominal wall in a selected patient population. Besides an exact surgical technique, the patient's compliance for weight reduction, special work-out and wearing a bodice pre- and postoperatively is essential for a good result.
BG Unfallklinik, Hand-, Plastische-, Rekonstruktive- und Verbrennungschirurgie, Tübingen.
A
A
Wenger
B
B
Del  Frari
B Del
BD
Frari
H
H
Piza-Katzer
D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation