By Michael J. Rosen MD FACS
Atlas of belly Wall Reconstruction, edited by means of Michael J. Rosen, bargains finished assurance at the complete variety of belly wall reconstruction and hernia fix. grasp laparoscopic upkeep, open flank surgical procedure, mesh offerings for surgical fix, and extra with high quality, full-color anatomic illustrations and scientific intra-operative photos and movies of systems played by way of masters. In print and on-line at www.expertconsult.com, this particular atlas offers the transparent counsel you must take advantage of powerful use of either usually played and new and rising surgical recommendations for stomach wall reconstruction.
- Tap into the adventure of masters from video clips demonstrating key moments and strategies in belly wall surgery.
- Manage the complete variety of remedies for stomach wall problems with assurance of congenital in addition to received problems.
- Get a transparent photograph of inner constructions due to top of the range, full-color anatomic illustrations and medical intra-operative photographs.
- Make optimum offerings of surgical meshes with the simplest present details at the diversity of fabrics to be had for surgical repair.
- Access the absolutely searchable contents and movies on-line at www.expertconsult.com.
Master mostly played in addition to new and rising surgical suggestions for belly wall reconstruction
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Additional info for Atlas of Abdominal Wall Reconstruction
The management of mesh contamination is extensive and many times requires mesh removal. In patients that present with erythema of the abdominal wall or delayed abdominal pain over the mesh, CT imaging of the abdomen should be obtained. Fluid collection above or deep to the prosthetic that contains air is a mesh infection and is treated as such. The fluid may be aspirated and sent for gram stain and culture. The mesh should be removed if it has a component of ePTFE. Attempts to salvage the prosthetic should involve open drainage of the fluid collection with negative pressure vacuum therapy.
Lumbar s he surgeon must be comfortable with retroperitoneal exposure. In order to gain adequate T posterior coverage of the defect with the mesh, the colon must be mobilized medially. Careful identification of the ureter is paramount to safe fixation of the mesh. We prefer to clearly identify the psoas muscle. Once the psoas muscle is identified and the ureters delineated, the dissection stops and any major vascular structures are avoided (Figs. 3-15 and 3-16). Chapter 3 • Laparoscopic Repair of Atypical Hernias: Suprapubic, Subxiphoid, and Lumbar 55 Subxiphoid hernia defect Falciform ligament A B Figure 3-11.
The mesh should be removed if it has a component of ePTFE. Attempts to salvage the prosthetic should involve open drainage of the fluid collection with negative pressure vacuum therapy. This maneuver may be successful with lightweight polypropylene materials but is less so with polyester-based materials. s Follow-up in patients after laparoscopic ventral hernia repair has historically been very poor in the literature. The postoperative schedule should include appointments at 2 weeks, 6 weeks, 6 months, 1 year, and yearly thereafter.