Complex abdominal wall hernias: A new classification system and approach to management based on review of 133 consecutive patients
Annals of Plastic Surgery, ISSN: 0148-7043, Vol: 66, Issue: 5, Page: 497-503
2011
- 38Citations
- 67Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations38
- Citation Indexes38
- 38
- CrossRef30
- Captures67
- Readers67
- 55
- 12
Conference Paper Description
Background: Plastic surgeons are increasingly involved in the repair of complex ventral hernias. Although this typically involves recurrent incisional hernias, operative strategies can be applied to most abdominal wall defects, including chronic wounds with or without exposed mesh, enterocutaneous fistulas, or hernias associated with significant pannus formation. Methods: This is a retrospective review of a single institution/single surgeon experience of complex ventral hernia repair performed over a 5-year period. Patients were classified into different hernia types based on their characteristics and underwent hernia repair according to the presented algorithm. Results: A total of 133 patients underwent a complex ventral hernia repair between January 2005 and September 2009. The separation of components technique was used in the majority of cases. Permanent or biologic mesh was added in select patients. Adjunctive procedures were performed as indicated. The majority of short-term (less than 1 year) recurrences occurred in patients expected to have impaired wound healing due to comorbid conditions. In these patients, the recurrence rate was reduced when autologous repair was reinforced with mesh. Conclusion: Autologous tissue is the preferred method for reconstruction of complex ventral hernias. In certain instances, such as contamination, use of an acellular dermal matrix mesh is added as a temporizing measure. A subset of patients who will be prone to recurrence remains. Long-term follow-up is needed to confirm reliable and reproducible results. Copyright © 2011 by Lippincott Williams & Wilkins.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=79955059399&origin=inward; http://dx.doi.org/10.1097/sap.0b013e3182145387; http://www.ncbi.nlm.nih.gov/pubmed/21451375; http://Insights.ovid.com/crossref?an=00000637-201105000-00017; https://journals.lww.com/00000637-201105000-00017; https://dx.doi.org/10.1097/sap.0b013e3182145387; https://journals.lww.com/annalsplasticsurgery/Abstract/2011/05000/Complex_Abdominal_Wall_Hernias__A_New.17.aspx
Ovid Technologies (Wolters Kluwer Health)
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