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Closure of Chronic Abdominal Wall Defects: The Components Separation Technique

  • Chapter
Abdominal Wall Hernias

Abstract

Incisional hernias and abdominal wall defects are frequently iatrogenic problems that have complicated up to 11% of abdominal operations. The ideal reconstruction of the abdominal wall would fulfill four requirements as outlined by DiBello and Moore: (1) prevent visceral eventration, (2) incorporate the abdominal wall, (3) provide dynamic muscle support, and (4) provide a tensionless repair. Current techniques for closure of large, chronic abdominal wall defects all have limitations. Primary repair can have a recurrence rate as high as 45%, whereas the use of prosthetic materials carries the risk of infection, skin erosion, and enteric fistula formation. Both fail to fulfill all the requirements.

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, The Johns Hopkins University, Lutherville, MD 21093, USA

    Oscar M. Ramirez MD

  2. Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA

    John A. Girotto MD

Authors
  1. Oscar M. Ramirez MD
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  2. John A. Girotto MD
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Editor information

Editors and Affiliations

  1. Toronto, Canada

    Robert Bendavid MD

  2. Haifa, Israel

    Jack Abrahamson MD

  3. Indianapolis, IN, USA

    Maurice E. Arregui MD

  4. Reims, France

    Jean Bernard Flament MD

  5. Los Angeles, CA, USA

    Edward H. Phillips MD

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© 2001 Springer Science+Business Media New York

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Ramirez, O.M., Girotto, J.A. (2001). Closure of Chronic Abdominal Wall Defects: The Components Separation Technique. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H. (eds) Abdominal Wall Hernias. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8574-3_74

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  • DOI: https://doi.org/10.1007/978-1-4419-8574-3_74

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6440-8

  • Online ISBN: 978-1-4419-8574-3

  • eBook Packages: Springer Book Archive

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