Predicting abdominal closure after component separation for complex ventral hernias: maximizing the use of preoperative computed tomography.

Abstract:

BACKGROUND:Component separation techniques (CSTs) have allowed for midline fascial reapproximation in large midline ventral hernias. In certain cases, however, fascial apposition is not feasible, resulting in a bridged repair that is suboptimal. Previous estimates on myofascial advancement are based on hernia location and do not take into account variability between patients. Examination of preoperative computed tomography (CT) may provide insight into these variabilities and may allow for prediction of abdominal closure with CST. STUDY DESIGN:A retrospective review was conducted of patients who underwent abdominal wall reconstruction from 2007 to 2012 with CST. Preoperative CT was obtained, and specific parameters were analyzed using image analysis software. Logistic regression was used to predict ideal operative closure. Multivariate analyses were adjusted for age and sex. An a priori value was set at P < 0.05. RESULTS:Fifty-four patients met the criteria and had preoperative CT available for analysis. Forty-eight patients had fascial reapproximation achieved, whereas 6 patients had a bridged repair. Age, sex, weight, and body mass index were similar between groups (P > 0.05). Significant differences were seen between groups in 3 variables: transverse defect size (19.8 vs 10 cm, P < 0.05), defect area (420 vs 184.2 cm, P < 0.05), and percent abdominal wall defect (18.9% vs 10.6%, P < 0.05). CONCLUSIONS:Preoperative determination of abdominal wall defect ratios and hernia defect areas may represent a more accurate method to predict abdominal wall closure after CST. Predicting midline approximation after CST is critical because outcomes after bridged repair can result in higher recurrence rates.

journal_name

Ann Plast Surg

authors

Franklin BR,Patel KM,Nahabedian MY,Baldassari LE,Cohen EI,Bhanot P

doi

10.1097/SAP.0b013e3182773915

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

261-5

issue

3

eissn

0148-7043

issn

1536-3708

pii

00000637-201309000-00004

journal_volume

71

pub_type

杂志文章
  • Transient postoperative stenosis in small-vessel anastomoses.

    abstract::Using a newly developed Doppler probe, we have found that a standard suture anastomosis in a rat femoral artery is accompanied by significant (30-60%) cross-sectional area stenosis, which dissipates to baseline levels within 24 hours. We hypothesized that spasm, deposition of coagulation products, or the suture techni...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199503000-00015

    authors: Moskovitz MJ,Zhang L,Baron DA,Kanner BJ,Tuchler RE,Siebert JW

    更新日期:1995-03-01 00:00:00

  • Safety of antiadhesion barriers in hand surgery.

    abstract:INTRODUCTION:Adhesions are a major cause of complications and need for repeat surgery in the hand and wrist. They are indication for tenolysis and cause prolonged need for therapy and inability to regain full hand motion. Minimizing adhesions in the hand and wrist would greatly improve surgery, by decreasing cost as we...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31827eace2

    authors: Kohanzadeh S,Lugo L,Long JN

    更新日期:2013-05-01 00:00:00

  • A study of simplified porcine skin preservation.

    abstract::The study of preserved porcine skin was done by using split-thickness skin grafts of pigs weighing approximately 25 to 30 kg. The harvesting of split-thickness skin grafts was performed under aseptic and antiseptic conditions. The povidone-iodine solution and 0.25% acidified sodium hypochlorite solution were used befo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199304000-00009

    authors: Visuthikosol V,Punyahotra N,Navykarn T,Kruavit A,Boonpucknavig V

    更新日期:1993-04-01 00:00:00

  • Hook forceps.

    abstract::A new pair of forceps incorporating two skin hooks and needle driver tips on an Adson forceps frame is described. Its use, advantages, and disadvantages are outlined. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199106000-00019

    authors: Lalonde DH

    更新日期:1991-06-01 00:00:00

  • Prophylactic antibiotics in surgical treatment of axillary hyperhidrosis.

    abstract::A randomized, prospective, double-blind study designed to compare the effectiveness of the use of cloxacillin with the result of nontreatment in patients undergoing surgical intervention of axillary hyperhidrosis was conducted from August 1987 to October 1987 at the Veterans General Hospital, Taipei, Taiwan. Forty-two...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000637-198905000-00009

    authors: Ma S,Chiang SS,Fang RH

    更新日期:1989-05-01 00:00:00

  • Diffusion of antibiotics across tissue expanders: an in vitro study.

    abstract::Local infection remains a significant complication of tissue expansion. Subclinical infection of pockets with permanent prosthesis used in breast reconstruction has also been associated with capsular contracture around the implant. In an in vitro model, we used four groups of eighteen 50-ml tissue expanders, each cont...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199404000-00003

    authors: Kenna DM,Robotti EB,Bocchiotti G,Blazek J,Grossman JA

    更新日期:1994-04-01 00:00:00

  • Calvarial bone healing under spring distension at continuous forces.

    abstract::The aim of the present study was to evaluate in young animals the dynamics of calvarial bone healing when exposing a bone defect to continuous forces for up to 13 weeks. Six-week-old rabbits after a sagittal suture strip craniectomy were randomized for either of the following protocols: (1) no spring was applied (n = ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000229019.29857.14

    authors: Pignatti M,Hansson HA,Gewalli F

    更新日期:2006-11-01 00:00:00

  • MicroRNA signatures in ischemia-reperfusion injury.

    abstract:BACKGROUND:MicroRNAs (miRs) are involved in gene expression and function, but little is known of their function in ischemia-reperfusion injury (IRI), which plays a critical role in flap compromise during microvascular flap surgeries. This article aimed to determine the expression profiles of miRs in rat flap surgeries ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182742c45

    authors: Chang KP,Lee HC,Huang SH,Lee SS,Lai CS,Lin SD

    更新日期:2012-12-01 00:00:00

  • Helical crus reconstruction using a postauricular chondrocutaneous flap.

    abstract::The authors describe a helical crus reconstruction technique using a postauricular chondrocutaneous flap vascularized by the postauricular vessels. They used this procedure on 7 patients who had developed a large defect on the helical crus following surgery. In each patient the flap design was adjusted to fit the form...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199901000-00011

    authors: Yotsuyanagi T,Urushidate S,Sawada Y

    更新日期:1999-01-01 00:00:00

  • Improved in vitro angiogenesis model by collagen density reduction and the use of type III collagen.

    abstract::Angiogenesis was examined by a three-dimensional model in vitro, using human umbilical vein endothelial cells (HUVECs) cultured in a collagen gel. An abundant capillary-like network with a lumen structure was identified histologically and shown to have formed at a collagen density of 0.05% or 0.10% instead of 0.15%, f...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199303000-00008

    authors: Kanzawa S,Endo H,Shioya N

    更新日期:1993-03-01 00:00:00

  • The surgical management of granulomatous mastitis.

    abstract::Granulomatous mastitis is an inflammatory breast condition of unknown etiology. Management remains controversial and treatment algorithms are lacking from the literature. Few resources exist that discuss breast reconstruction following extirpation. This descriptive case series reviews the clinicopathologic features of...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181a20cae

    authors: Yau FM,Macadam SA,Kuusk U,Nimmo M,Van Laeken N

    更新日期:2010-01-01 00:00:00

  • Functional and cosmetic results of fingertip replantation: anastomosing only the digital artery.

    abstract::In fingertip amputations, conventional stump plasty provides an almost acceptable functional result. However, replanting fingertips can preserve the nail and minimize loss of function. We investigated the functional and cosmetic results of fingertip replantation at the terminal branch of the digital artery. Outcomes w...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000137136.09890.18

    authors: Matsuzaki H,Yoshizu T,Maki Y,Tsubokawa N

    更新日期:2004-10-01 00:00:00

  • The use of biomedical sensors to monitor capsule formation around soft tissue implants.

    abstract::Piezoelectric sensors have been shown to respond reproducibly to changes in tissue mechanical properties surrounding an implant over a 4-month period. The vibrational amplitude at a frequency corresponding to the radial resonance shows a statistically significant change over time. The initial period of inflammation is...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000189620.45708.5f

    authors: Bender JW,Friedman HI,Giurgiutiu V,Watson C,Fitzmaurice M,Yost ML

    更新日期:2006-01-01 00:00:00

  • Perineal wound complications, risk factors, and outcome after abdominoperineal resections.

    abstract:BACKGROUND:We describe the risk factors for complications and outcome of perineal wounds after abdominoperineal resections (APRs). METHODS:A retrospective chart review was performed, and patient demographics, risk factors, extent of APR, closure of perineal wounds, exposure to radiation, and outcome were collected. R...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31823fac2b

    authors: Choudry U,Harris D

    更新日期:2013-08-01 00:00:00

  • Study of sensory and motor fascicles in brachial plexus and establishment of a digital three-dimensional graphic model.

    abstract::To investigate a 3-dimensional (3D) model of human brachial plexus including its topography of sensory and motor fascicles with the assistance of the computer technology, 2 brachial plexus were serially horizontally sliced. Each slice was stained by Karnovsky-Roots acetylcholinesterase histochemical method. The staine...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31822f677e

    authors: Chen Z,Zhang J,Chen T,Chen Z,Li H,Zhang EW,Lineaweaver WC,Zhang F

    更新日期:2011-12-01 00:00:00

  • Scrotal construction by expansion of labia majora in biological female transsexuals.

    abstract::Construction of male genitalia in biological female transsexual patients is problematic. We report 3 transsexuals with scrotal construction by tissue expansion of the labia majora. In each patient, tissue expanders were inserted into the labia majora several months before free flap phalloplasty. In 2 patients, the tis...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199310000-00016

    authors: Sengezer M,Sadove RC

    更新日期:1993-10-01 00:00:00

  • The craniofacial approach to trauma.

    abstract::Craniofacial surgical techniques have yielded better methods of treating severe craniofacial trauma. In this paper surgical techniques are discussed in principle and specifically presented through case reports. We conclude that the most important factors for successful reconstruction after craniofacial trauma are to d...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198612000-00012

    authors: Lauritzen C,Lilja J,Vällfors B

    更新日期:1986-12-01 00:00:00

  • Critical closing pressure, local perfusion pressure, and the failing skin flap.

    abstract::A simple apparatus was devised to perfuse the rat groin flap to study the relationship between perfusion pressure and flow. Results demonstrate that a relatively high intraarterial pressure must be applied to this skin flap before blood flow will commence. Results suggest that this critical closing phenomenon is the r...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198206000-00009

    authors: Cutting C,Ballantyne D,Shaw W,Converse JM

    更新日期:1982-06-01 00:00:00

  • Reduction in Recurrence Rate by Combining Modified Hotz Procedure With Epicanthoplasty to Treat Congenital Epiblepharon.

    abstract:AIM:To determine whether patients with congenital lower lid epiblepharon treated with a modified Hotz procedure combined with epicanthoplasty have a decreased recurrence rate. PATIENTS AND METHODS:Patients with epiblepharon of the lower eyelid corrected using a modified Hotz method between 2007 and 2017 were evaluated...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002160

    authors: Nemoto H,Nakae S,Miyabe K,Kuroki T,Ito Y,Sumiya N

    更新日期:2020-06-01 00:00:00

  • Gauze Impregnated With Quaternary Ammonium Salt Reduces Bacterial Colonization of Surgical Drains After Breast Reconstruction.

    abstract::Surgical site infection after breast reconstruction is associated with increased length of hospital stay, readmission rates, cost, morbidity, and mortality. Identifying methods to reduce surgical site infection without the use of antibiotics may be beneficial at reducing antimicrobial resistance, reserving the use of ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001420

    authors: Strong AL,Wolfe ET,Shank N,Chaffin AE,Jansen DA

    更新日期:2018-06-01 00:00:00

  • Screw fixation of dermal regeneration template for scalp reconstruction.

    abstract::Despite many advances in reconstructive techniques, the full-thickness scalp defect remains a difficult problem for the reconstructive surgeon. Patient and disease-specific factors occasionally make reconstruction with a dermal regeneration template (DRT) an attractive option when other methods are less advised. Altho...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318243390b

    authors: Orseck MJ,Trujillo MG Jr,Ritter EF

    更新日期:2012-05-01 00:00:00

  • Application of Concatenated Arterialized Venous Flaps in Finger Reconstruction.

    abstract::Venous flaps from the distal volar forearm are said to be suitable flaps for finger reconstruction. The pliability of the forearm venous flap makes it easy to follow the curvature of the finger contour. The thickness of the flap makes it appropriate as a flap for finger resurfacing. Following the venous network at the...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001633

    authors: Lin YT,Loh CYY

    更新日期:2019-03-01 00:00:00

  • Vulval reconstruction using rectus abdominis musculocutaneous flap transfer with secondary liposuction in extramammary Paget's disease.

    abstract::Two female patients with vulval skin defects after extramammary Paget's disease were reconstructed using a pedicled, distally based rectus abdominis musculocutaneous flap. After the operation, the bulkiness of the flap, which might be a major problem in the application for a vulval skin defect, was improved successful...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199702000-00015

    authors: Hatoko M,Okazaki T,Tada H,Kuwahara M,Shiba A,Muramatsu T,Shirai T

    更新日期:1997-02-01 00:00:00

  • Ketorolac and Hematoma Incidence in Postmastectomy Implant-Based Breast Reconstruction.

    abstract:BACKGROUND:Ketorolac tromethamine (Toradol) is an effective a nonsteroidal anti-inflammatory drug and a powerful analgesic for patients undergoing breast surgery. However, the potential for postoperative bleeding has not yet been explored specifically in women undergoing implant-based breast reconstruction. There is co...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001409

    authors: Mikhaylov Y,Weinstein B,Schrank TP,Swartz JD,Ulm JP,Armstrong MB,Delaney KO

    更新日期:2018-05-01 00:00:00

  • A rigid transparent face mask for control of scar hypertrophy.

    abstract::A rigid transparent face mask of cellulose acetate butyrate was developed for the control of scar hypertrophy in the burned face. Excellent patient acceptance has been found in a six-year series of 97 patients. Use of the device for at least twenty hours a day for an average of one and a half years per patient has ena...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198103000-00014

    authors: Shons AR,Rivers EA,Solem LD

    更新日期:1981-03-01 00:00:00

  • TRAM flap breast reconstruction for patients with advanced breast disease.

    abstract::Transverse rectus abdominis musculocutaneous (TRAM) breast reconstruction in patients with advanced breast cancer is controversial. Management of these patients is often complex and consists of surgical extirpation, postoperative radiation, chemotherapy, and in some cases bone marrow transplantation. Few studies have ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000069075.27321.BC

    authors: Behnam AB,Nguyen D,Moran SL,Serletti JM

    更新日期:2003-06-01 00:00:00

  • Availability of COVID-19 Information From National Plastic Surgery Society Web Sites.

    abstract:BACKGROUND:National plastic surgery society web sites are an important source of information for patients, family members, and healthcare professionals. There are currently no standardized recommendations for the information provided on web sites. The aim of this study was to assess the information available on each na...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002447

    authors: Al-Benna S,Gohritz A

    更新日期:2020-08-01 00:00:00

  • Early Breast Angiosarcoma Development After Radiotherapy: A Cautionary Tale.

    abstract::This is a short clinical report depicting an exceptionally early presentation of radiation-induced angiosarcoma and overview of the literature. This case highlights the need for a high level of clinical suspicion in those patients presenting with unresolving cutaneous skin changes after radiotherapy for breast cancer....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0000000000001856

    authors: Wei NJJ,Crowley TP,Ragbir M

    更新日期:2019-08-01 00:00:00

  • Aesthetic units in skin grafting of the face.

    abstract::In patients with difficult facial reconstructions, one of the most important requirements is to plan well, before beginning treatment. It is known that it is important to consider the aesthetic unit of the face. Each cutaneous area is to be reconstructed by a single, separate graft or flap. We present 4 patients illus...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199104000-00009

    authors: Maillard GF,Clavel PR

    更新日期:1991-04-01 00:00:00

  • The Suzuki frame for complex intra-articular fractures of the proximal interphalangeal joint of the fingers.

    abstract::In 1994, Suzuki et al proposed the pins-and-rubbers traction system, a new dynamic distraction technique for difficult complex intra-articular fractures of the digits of the hand. From February 1999 to April 2003, we used the Suzuki frame for 15 complex fractures of the proximal interphalangeal joint of the fingers. T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000244975.89885.c7

    authors: Keramidas E,Solomos M,Page RE,Miller G

    更新日期:2007-05-01 00:00:00