Abdominal Wall Transplantation: A Review of the Literature
Patients suffering from intestinal failure and total-parenteral-nutrition-derived complications can be treated with either intestinal or multivisceral abdominal transplantation. These operations have greatly increased in number in the last decade (more than 1,000 reported cases) because of the improved survival rate due to advances in surgical technique, better immunosuppressive regime, donor selection and recipient care . However, there are cases where achieving primary closure of the abdominal wall at the end of the surgical procedure is very difficult. Patients requiring intestinal transplantation have often previously undergone intestinal resection, with loss of the small-bowel domain. Their abdominal wall structure may be severely altered because of laparotomies, enterocutaneous fistulae, infections and tumours.
KeywordsAbdominal Wall Acute Rejection Abdominal Wall Defect Intestinal Transplantation Intestinal Failure
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