The open perforator sparing anterior component separation
Hernia surgery, and intra-abdominal surgery in general, have been accompanied by an increased risk of complications, largely due to a combination of operative complexity and obesity. Advances in care following major abdominal trauma, infections and complex abdominal procedures has led to the advent...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
| Subjects: | |
| Online Access: | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=1;spage=21;epage=25;aulast=Mughal |
| _version_ | 1818489413505646592 |
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| author | Maleeha Mughal Daniel Ross David Ross |
| author_facet | Maleeha Mughal Daniel Ross David Ross |
| author_sort | Maleeha Mughal |
| collection | DOAJ |
| description | Hernia surgery, and intra-abdominal surgery in general, have been accompanied by an increased risk of complications, largely due to a combination of operative complexity and obesity. Advances in care following major abdominal trauma, infections and complex abdominal procedures has led to the advent of several techniques that can allow dependable closure of these wider, more difficult defects. Anterior component separation (ACS) is a well-established technique used to achieve fascial closure in complex abdominal wall reconstruction (AWR). Wound related complications in the traditional ACS procedure have been reported to occur in 24%-50% of cases. In a quest to reduce complications and improve wound healing rates, methods have evolved in order to limit the anatomical injury caused by lateral elevation of flaps in the conventional techniques. These techniques involve preservation of the abdominal wall perforators. Thus ensuring appropriate perfusion of the overlying skin flaps. Perforator-sparing techniques have become increasingly important as they reflect greater understanding of how pre-operative planning can aid reduction of surgical risk, wound infection and improve wound healing in patients with complex abdominal wall hernias. |
| first_indexed | 2024-12-10T17:03:39Z |
| format | Article |
| id | doaj.art-6dbe452cbdd4440695de0ae8274217f9 |
| institution | Directory Open Access Journal |
| issn | 2589-8736 2589-8078 |
| language | English |
| last_indexed | 2024-12-10T17:03:39Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj.art-6dbe452cbdd4440695de0ae8274217f92022-12-22T01:40:30ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782022-01-0151212510.4103/ijawhs.ijawhs_52_21The open perforator sparing anterior component separationMaleeha MughalDaniel RossDavid RossHernia surgery, and intra-abdominal surgery in general, have been accompanied by an increased risk of complications, largely due to a combination of operative complexity and obesity. Advances in care following major abdominal trauma, infections and complex abdominal procedures has led to the advent of several techniques that can allow dependable closure of these wider, more difficult defects. Anterior component separation (ACS) is a well-established technique used to achieve fascial closure in complex abdominal wall reconstruction (AWR). Wound related complications in the traditional ACS procedure have been reported to occur in 24%-50% of cases. In a quest to reduce complications and improve wound healing rates, methods have evolved in order to limit the anatomical injury caused by lateral elevation of flaps in the conventional techniques. These techniques involve preservation of the abdominal wall perforators. Thus ensuring appropriate perfusion of the overlying skin flaps. Perforator-sparing techniques have become increasingly important as they reflect greater understanding of how pre-operative planning can aid reduction of surgical risk, wound infection and improve wound healing in patients with complex abdominal wall hernias.http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=1;spage=21;epage=25;aulast=Mughalabdominal wall reconstructioncomponent separationperforator sparing techniques |
| spellingShingle | Maleeha Mughal Daniel Ross David Ross The open perforator sparing anterior component separation International Journal of Abdominal Wall and Hernia Surgery abdominal wall reconstruction component separation perforator sparing techniques |
| title | The open perforator sparing anterior component separation |
| title_full | The open perforator sparing anterior component separation |
| title_fullStr | The open perforator sparing anterior component separation |
| title_full_unstemmed | The open perforator sparing anterior component separation |
| title_short | The open perforator sparing anterior component separation |
| title_sort | open perforator sparing anterior component separation |
| topic | abdominal wall reconstruction component separation perforator sparing techniques |
| url | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=1;spage=21;epage=25;aulast=Mughal |
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