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"Abdominal components separation"

Saïd C Azoury, Andrew P Dhanasopon, Xuan Hui, Carla De La Cruz, Sami H Tuffaha, Justin M Sacks, Kenzo Hirose, Thomas H Magnuson, Caiyun Liao, Monica Lovins, Michael A Schweitzer, Hien T Nguyen
BACKGROUND: The authors analyzed surgical factors and outcomes data in the largest single institutional study comparing endoscopic (ECS) and open component separation (OCS) in ventral hernia repairs (VHR). METHODS: A prospectively maintained database was reviewed, identifying 76 patients who underwent component separation for VHR with mesh from 2010 to 2013: 34 OCS and 42 ECS. Comparisons were made for demographics, surgical risk factors, and peri-operative outcomes...
December 2014: Surgical Endoscopy
Matthew S Clifton, Kurt F Heiss, Jane J Keating, Greg Mackay, Richard R Ricketts
BACKGROUND/PURPOSE: Closure of abdominal wall defects in children poses a challenge for pediatric surgeons. We describe a technique using tissue expanders placed either intraperitoneally or in the abdominal wall to aid in the reconstruction of a variety of complex abdominal wall defects. METHODS: The tissue expanders are inserted under general anesthesia. Initial expansion is done in the operating room with attention to peak airway pressure, urine output, and end-tidal carbon dioxide...
February 2011: Journal of Pediatric Surgery
Marco Mazzocchi, Luca Andrea Dessy, Raul Ranno, Bruno Carlesimo, Corrado Rubino
BACKGROUND: Primary incisional hernia repair is rarely successful, with recurrence rates ranging from 18% to 62%. We describe the integration of "components separation" herniorrhaphy with panniculectomy. METHODS: Twenty-two patients were treated. Standard panniculectomies and component separation were performed. Intravesical pressure was measured preoperatively, intraoperatively, and postoperatively. Measurement variations were compared using the Wilcoxon test. Complications or hernia recurrence were evaluated...
June 2011: American Journal of Surgery
James B Lowe, Julie B Lowe, Jack D Baty, Jaime R Garza
The reconstruction of complex abdominal wall defects can often pose a significant challenge to surgeons and their patients. Complex ventral hernias may result from large tumor resections, trauma from gunshot wounds, or infections following routine abdominal surgery. "Components separation" of the abdominal musculature uses advancement of local autologous tissue, when available, to close large ventral wall defects. The authors report on a retrospective chart review of 30 patients who underwent components separation for the closure of complex abdominal defects...
March 2003: Plastic and Reconstructive Surgery
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