State-of-the-art abdominal wall reconstruction and closure

Ayuso, Sullivan A.; Elhage, Sharbel A.; Salvino, M; Sacco, Jana; Heniford, B. Todd

doi:10.1007/s00423-023-02811-w

Cited by 5 publications

(1 citation statement)

References 72 publications

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“…20 It is difficult to estimate the exact size of the fascia required for standard closure. Unlike meshes, the fascia does not need to be 1 cm wider than the hernia defect 21 ; however, the exact shaping and cutting of the fascia to maintain adequate tension remains more of an art than science. If we extrapolate the evidence derived from the use of meshes in conventional repairs, we should use a mesh concomitantly with the fascia to cover defects larger than 7.5 cm to maintain tensile strength.…”

Section: Discussionmentioning

confidence: 99%

Hernia Correction After Liver Transplantation Using Nonvascularized Fascia

Justo,

Caso,

Marcacuzco

et al. 2024

Transplantation Direct

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Background. Liver transplantation is an increasingly frequent surgical procedure, with elevated rates of postoperative incisional hernias ranging from 5% to 46%. There are numerous known risk factors for incisional hernia, including the type of incision, patient sex, and presence of comorbidities such as diabetes, ascites, older age, and the use of steroids. Most studies on the treatment of incisional hernias in patients who have undergone liver transplantation have shown consistently high rates of complications. Consequently, we propose the use of nonvascular fascia for the symptomatic treatment of incisional hernias in patients with concomitant liver transplantation. Methods. We performed our new technique on 8 patients, who had previously undergone liver transplantation, between January 2019 and January 2023. The patients were examined using imaging techniques during the follow-up period. Results. Of the 8 patients, 7 were liver transplant recipients and 1 was a combined liver-kidney transplant patient. The median donor age was 57 y (5–66 y), whereas the mean recipient age was 58 y (31–66 y). The median patient height and weight were 163 cm (117–185 cm) and 76 kg (17–104 kg), respectively. Immunosuppression did not change in fascia recipients. The median time between transplantation and hernia repair surgery was 41 mo (5–116 mo). The sizes of the aponeurotic defects varied from 6 × 6 to 25 × 20 cm. Two patients experienced complications: one experienced bulging that required reintervention and the other experienced surgical site seroma. There was no mortality related to the use of the technique, and none were reported during follow-up. Conclusions. With its promising results, nonvascularized fascial transplantation can be a successful treatment for incisional hernias in patients who had previously received a liver transplant.

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Section: Discussionmentioning

confidence: 99%