Abdominal Wall Reconstruction, an Issue of Surgical Clinics, by Michael J. Rosen MD FACS

By Michael J. Rosen MD FACS

An vital evaluation on stomach wall reconstruction for the final health care provider! themes will comprise preoperative optimization of a ventral hernia sufferer, prevention of incisional hernias, laparoscopic ventral hernia fix, open ventral hernia fix, extraordinary hernias, epigastric and umbilical hernias, parastomal hernia fix, flap reconstruction, artificial mesh, medical results of biologic mesh, pediatric hernias, takedown of enterocutaneous fistula, a overview of laparoscopic as opposed to open inguinal hernia, and extra!

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B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky DANIEL J. SCOTT, MD, FACS Professor, Department of Surgery, Frank H. Kidd Jr, MD Distinguished Professorship in Surgery, Director, Southwestern Center for Minimally Invasive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas NILAY R. SHAH, MD, MS Surgery Resident, Department of Surgery, Mayo Clinic Hospital, Phoenix, Arizona DOMINIC ALEXANDER JAMES SLADE, MB ChB, FRCS Department of Surgery, National Intestinal Failure Centre, Salford Royal NHS Foundation Trust, Salford, Manchester, United Kingdom Contents Foreword: Abdominal Wall Reconstruction Ronald F.

Unless one has been working as a member of a medical student faculty or a resident training faculty, it might not be as apparent. Having the opportunity to work in both of those roles, I would suggest that the changes to medical student education, particularly in regard to ability to assume responsibility and participate significantly in patient care, have been more dramatic than the changes in resident education. This has led to a concerted effort to create “surgical boot camps” and led in part to the diminution of the PGY-1 resident role by the ACGME.

43 Separation of wound edges leading to an incisional hernia may be a result of an incomplete early wound dehiscence. 9,31–33 A severe necrotizing infection may disintegrate the aponeurosis, and the sutures placed in this tissue can then no longer support the wound. 32,47,49 Suture Technique in Relation to Wound Dehiscence Wound dehiscence is a complete disruption of the sutured wound with evisceration, demanding emergent reoperation. 47 A necrotizing infection may disintegrate the suture-holding tissues and reduce suture-holding capacity, and greatly increases the risk of wound dehiscence occurring.

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