Phase IV: Late Reconstruction Abdominal Wall Closure: Staged Management Technique

There has been an evolution in managing the laparotomy wound associated with devastating abdominal injuries over the past 25 years. The pathophysiology of the scenario resulting in intra-abdominal hypertension has been fairly well worked out in both laboratory models as well as in clinical observational studies. It has been observed that closure of the laparotomy incision under such circumstances results in a compartment syndrome. As an alternative to closure under tension, the development of multiple methods of open abdominal wound management has evolved. However, while this progress has positively influenced some of these problems, a new dilemma has emerged: the giant ventral hernia [1, 2, 3, 4, 5, 6].


Ventral Hernia Open Abdomen Abdominal Wall Defect Fascial Closure Abdominal Wall Reconstruction 
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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Tennessee Health Science CenterMemphisUSA

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