New Developments in Abdominal Wall Reconstruction After Abdominal Compartment Syndrome Decompression

Abstract

The acute abdominal compartment syndrome (ACS) is most often treated with surgical abdominal decompression. After the acute phase, primary closure of the abdominal wall may not be possible, due to tissue loss and retraction of the abdominal wall and its musculofascial components. This article gives an update of the reconstructive ladder for abdominal wall defects. Because of improved intensive care treatment and wound dressing, reconstruction can usually be delayed until infection and oedema have settled. Recent developments in bioprosthetics and new surgical techniques like component separation make better results with less donor site morbidity possible. However, there is still a place for local and distant flaps.

Composite Anterolateral Thigh–Tensor Fascia Lata–Vastus Lateralis Flap with Synthetic Mesh Reconstruction for Giant Ventral Hernia Repair

“… 7 A 10%–15% recurrence rate was reported with postoperative complications, including cardiac, respiratory, and renal complications, and abdominal compartment syndrome. 4 , 7 , 8 This technique may be limited to sizeable ventral hernia with loss of domain and nonmidline hernia.…”

Abdominal compartment syndrome

“…107 The use of tissue expanders to aid in PFC is known as well as the use of pedicle or free latissimus dorsi flaps to reconstruct the abdominal wall. 108 Finally, we must not forget the courageous, lone surgeon working in austere parts of the world withn n out devices for vacuumnassisted wound closure or who may not be familiar with using them. The use of a skin only closure may be a safe and wise option in the aftern n math of DCS under such circumstances.…”

Abdominal Compartment Syndrome

“… 107 The use of tissue expanders to aid in PFC is known as well as the use of pedicle or free latissimus dorsi flaps to reconstruct the abdominal wall. 108 …”