Role of tissue expansion in abdominal wall reconstruction: A systematic evidence-based review

Wooten, Kimberly; Öztürk, Cemile Nurdan; Öztürk, Can; Laub, Peter; Aronoff, Nell; Gürünlüoğlu, Raffi

doi:10.1016/j.bjps.2017.02.018

Cited by 28 publications

(35 citation statements)

References 33 publications

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“…Table 9 shows the characteristics of selected studies. For SAWR cases the minimum reported value for mortality was 0% and the maximum 0.14% [76][77][78]. In CAWR cases [74,75] the reported mortality ranged from 0 to 5%.…”

Section: Awr -Mortalitymentioning

confidence: 92%

See 1 more Smart Citation

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Stabilini

Cavallaro

Bocchi³

et al. 2018

International Journal of Surgery

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Section: Awr -Mortalitymentioning

confidence: 92%

“…Mean AMSTAR score for SAWR papers was 5.7, and 3.9 for CAWR. The commission decided to analyze all papers for SAWR [70][71][72] and CAWR [73][74][75][76][77][78][79]. Table 9 shows the characteristics of selected studies.…”

Section: Awr -Mortalitymentioning

confidence: 99%

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Stabilini

Cavallaro

Bocchi³

et al. 2018

International Journal of Surgery

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show abstract

“…The causes, features, and optimal management of abdominal wounds are diverse, and as a result there is no gold standard for treatment. 24 Tissue expansion can be useful in managing abdominal wounds, allowing for delayed primary closure and recruitment of skin with increased vascularity. 24 Complications associated with certain tissue expansion techniques in abdominal wounds include infection, evisceration, and hematoma.…”

Section: Abdomenmentioning

confidence: 99%

“…24 Complications associated with certain tissue expansion techniques in abdominal wounds include infection, evisceration, and hematoma. 24 Clinical evidence. One of the expert contributors used DermaClose to assist in closure of 64 open abdominal wounds.…”

Section: Abdomenmentioning

confidence: 99%

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

Dardano

Klapper

Parekh

et al. 2020

Advances in Wound Care

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Significance: Continuous external tissue expansion (CETE) is a versatile tool in soft tissue injury management, and could be an addition to the traditional reconstructive ladder. Recent Advances: This critical review discusses the principles and application of CETE, covering a company-sponsored consensus meeting on this emerging technology and highlighting the DermaClose Ò (Synovis Micro Companies Alliance, Inc., Birmingham, AL) device's unique approach to soft tissue injury management. There is clinical evidence to support the use of CETE in the management of a number of wound types, including fasciotomy, trauma, amputation, and flap donor sites. The device can be applied to open wounds, potentially avoiding the need for a skin graft or other more complex or invasive reconstruction options. DermaClose applies constant tension without restricting blood flow and does not require repeated tightening. Critical Issues: CETE is becoming more widely used by surgeons of different specialties, and numerous reports describing its efficacy and safety in wound management have been published. Surgeons using CETE must follow the correct technique and select patients carefully to achieve optimal outcomes. However, there is no single source of information or consensus recommendations regarding CETE application. Future Directions: Prospective evidence on the efficacy and safety of CETE in clinical practice is required to communicate the best techniques and share important experiences. This will help to solidify its place in the reconstructive ladder as a valuable additional option for surgeons.

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“…Other techniques that have been utilized to increase the abdominal domain in large hernias with loss of domain include progressive pneumoperitoneum and soft tissue expanders. These are not without risk of morbidity however [10,11] .…”

Section: Introductionmentioning

confidence: 99%

The use of botulinum toxin A in chemical component separation: a review of techniques and outcomes

Elhage¹,

Deerenberg²,

Shao³

et al. 2020

PAR

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How to cite this article: Elhage SA, Deerenberg EB, Shao JM, Augenstein VA, Heniford BT. The use of botulinum toxin A in chemical component separation: a review of techniques and outcomes. Plast Aesthet Res 2020;7:16. http://dx. AbstractFascial closure is crucial for abdominal wall reconstruction (AWR) but can be especially difficult in patients with massive ventral hernias or loss domain. Recently, botulinum toxin A (BTA) has been increasingly utilized as an adjunct in AWR to aid in fascial closure. This review aims to evaluate the current literature on the use of BTA in AWR to assess current treatment regimens, side effects, outcomes and complications. A literature search was performed, yielding 10 studies that met the inclusion criteria. There was a significant amount of heterogeneity in treatment regimens, with studies differing in BTA injection timing, dosage, concentration, and location. The majority of studies showed that injection of BTA preoperatively was able to augment abdominal wall musculature, with many showing a decrease in mean transverse defect size and high rates of successful fascial closure. No major complications were reported from BTA administration, with only mild side effects reported by some studies. The most common side effects include a weak cough or sneeze, bloating, and back pain, which generally all resolved prior to surgery. While BTA appears to be a promising adjunct for AWR, further investigation is needed to determine optimal patient selection and treatment regimens.

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Role of tissue expansion in abdominal wall reconstruction: A systematic evidence-based review

Cited by 28 publications

References 33 publications

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

The use of botulinum toxin A in chemical component separation: a review of techniques and outcomes

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