Celestin Arthur R, Barron Sivana, Haddad Anthony, Jia Emmeline, Morgenstern Monica, Diamond Shawn, Plaster Blakely, Cauley Ryan P, Morris Donald J
Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.
Texas Tech University Health Sciences Center El Paso, El Paso, Texas.
Plast Reconstr Surg Glob Open. 2022 Feb 9;10(2):e4095. doi: 10.1097/GOX.0000000000004095. eCollection 2022 Feb.
Abdominal wall tissue expansion is a unique technique that seeks to augment and expand both the fascial and subcutaneous tissues/skin layers to achieve durable closure of otherwise challenging ventral hernias. In addition to allowing primary fascial closure in a majority of cases, this technique enables reduced tension on the closure, potentially decreasing the recurrence rate. This article describes the senior author's surgical technique for abdominal wall tissue expansion in massive complicated ventral hernias. The plastic surgeon is at a unique advantage to assist with the repair of massive complicated ventral hernias given their comfort with complex tissue handling and expandable devices. This specialized technique thus provides an opportunity for plastic surgeons to serve as expert co-surgeons with general surgery colleagues to help achieve superior outcomes in patients with these challenging hernias.
腹壁组织扩张是一种独特的技术，旨在增大和扩展筋膜及皮下组织/皮肤层，以实现对原本具有挑战性的腹侧疝的持久闭合。除了在大多数情况下允许进行一期筋膜闭合外，该技术还能降低闭合时的张力，有可能降低复发率。本文介绍了资深作者针对巨大复杂腹侧疝的腹壁组织扩张手术技术。鉴于整形外科医生在处理复杂组织和使用可扩张装置方面得心应手，他们在协助修复巨大复杂腹侧疝方面具有独特优势。因此，这种专门技术为整形外科医生提供了一个机会，使其能够作为普通外科同事的专家联合外科医生，帮助这些具有挑战性疝病患者取得更好的治疗效果。
