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Minimally Invasive Component Separation for the Repair of Large Abdominal Wall Defects

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Surgery of Complex Abdominal Wall Defects

Abstract

Minimally invasive anterior component separation technique is a feasible and reproducible procedure that restores the abdominal midline and therefore can play a role in the repair of large abdominal defects, helping to promote a physiological abdominal reconstruction. It is advantageous when dealing with a contaminated setting as it may permit an abdominal midline closure without applying prosthetic material. If complete midline restoration is not possible, anterior component separation helps in reducing the abdominal wall defect, decreasing the amount of necessary mesh for a bridge repair, respecting as much as possible the physiology and kinetics of the abdominal wall. Minimally invasive anterior component separation has many advantages over classic open techniques avoiding large skin flaps and consequent wound healing related problems. More studies are needed to compare different minimally invasive techniques regarding myofascial advancement flaps and respective costs.

In this chapter we describe and illustrate in detail the video-assisted anterior component separation technique and discuss special settings where it can be useful as in the primary closure of the difficult open abdomen. Finally, it is fundamental to keep in mind that minimally invasive component separation technique is just a helpful part of the puzzle involving large and complex abdominal wall defects. Proper planning and attention to details are important for a successful achievement.

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Author information

Authors and Affiliations

  1. Hospital Pedro Hispano - Department of Surgery: Colo-rectal and Abdominal Wall Surgery, Matosinhos, Portugal

    E. Barbosa

  2. Faculty of Medicine, University of Porto, Porto, Portugal

    E. Barbosa & F. Ferreira

  3. Hospital Lusiadas, Porto, Portugal

    E. Barbosa

  4. Hospital Pedro Hispano - Department of Surgery: Upper Gastrointestinal and Abdominal Wall Surgery, Matosinhos, Portugal

    F. Ferreira

  5. Hospital CUF, Porto, Portugal

    F. Ferreira

Authors
  1. E. Barbosa
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  2. F. Ferreira
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Corresponding author

Correspondence to E. Barbosa .

Editor information

Editors and Affiliations

  1. Department of Surgery, Westchester Medical Center and New York Medical College, Valhalla, New York, USA

    Rifat Latifi

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Barbosa, E., Ferreira, F. (2017). Minimally Invasive Component Separation for the Repair of Large Abdominal Wall Defects. In: Latifi, R. (eds) Surgery of Complex Abdominal Wall Defects. Springer, Cham. https://doi.org/10.1007/978-3-319-55868-4_14

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  • DOI: https://doi.org/10.1007/978-3-319-55868-4_14

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  • Online ISBN: 978-3-319-55868-4

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