Abstract
The AWEX and IFT procedures are based on the principle of intraoperative stretching of the contracted musculature and pursue the objective of mainaining the abdominal wall integrity in the reconstruction of large incisional hernia and laparostoma. The amazing efficacy of the principle was already established while the technique was beginning to be developed (2012), which made it possible to omit dissection techniques (component separations). Moreover, IFT proved to show a low rate of complications and relatively simple applicability, in addition to being combinable with all available reconstruction techniques applied to the abdominal wall. The basic procedure of AWEX was technically refined and resulted in the development of a tool (fasciotens(r)) specially designed for IFT.
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Acknowledgments
We are grateful to Prof. R. Rosenberg (Director, Clinic for General, Visceral, Thoracic and Vascular Surgery, Kantonsspital Baselland), Dr. Gereon Lill (Cologne), D.C. Steinemann (Basel), and N. Rüedi (Zurich) for their professional, intellectual and hands-on support in pathing the way for the AWEX/IFT concept, as well as to K.É. Thomanek (Vienna) for medical writing and copy-editing in preparing this article.
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Eucker, D., Niebuhr, H., Zerz, A. (2022). Intraoperative Abdominal Wall Extension (AWEX)/Intraoperative Fascia Traction (IFT): Significance and Technique as Applied to Complex Abdominal Wall Hernia. In: Baig, S.J., Bhandarkar, D., Priya, P. (eds) Newer Concepts and Procedures in Hernia Surgery - An Atlas. Springer, Singapore. https://doi.org/10.1007/978-981-19-5248-7_24
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