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What Is a Complex Abdominal Wall?

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The SAGES Manual of Hernia Repair

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Abstract

A complex abdominal wall refers to patient anatomy that falls out of the realm of a standard ventral hernia. This may include patients with a history of multiple hernia repairs, loss of abdominal domain with retraction of the abdominal fascia away from the midline, hernias with infected mesh, and those hernias associated with an enterocutaneous fistula or presence of an intestinal stoma. Abdominal reconstruction in these patients is complicated and is associated with significant morbidity and mortality. This chapter will discuss some of the predisposing factors to the development of a complex abdominal wall and a systematic approach to the care of these complex patients.

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Author information

Authors and Affiliations

  1. Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    Mickey M. Ott MD

  2. Department of Surgery, University of Maryland Medical Center, Baltimore, MD, USA

    Jose J. Diaz Jr. MD, FACS, FCCM

Authors
  1. Mickey M. Ott MD
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  2. Jose J. Diaz Jr. MD, FACS, FCCM
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Corresponding author

Correspondence to Mickey M. Ott MD .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

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Ott, M.M., Diaz, J.J. (2013). What Is a Complex Abdominal Wall?. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_24

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  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_24

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

  • eBook Packages: MedicineMedicine (R0)

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