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Abdominal Wall Reconstruction: Multimedia

Author: Mark A Grevious, MD, FACS, Assistant Professor of Surgery, Associate Program Director, Division of Plastic and Reconstructive Surgery, University of Illinois at Chicago
Coauthor(s): Mimis Cohen, MD, FACS, FAAP, Professor and Chief, Division of Plastic, Reconstructive and Cosmetic Surgery, University of Illinois at Chicago; Consulting Staff Craniofacial Center, University of Illinois at Chicago; Aisha D White, MBA, MD, Staff Physician, Department of Plastic Surgery, University of Illinois at Chicago; Bradon J Wilhelmi, MD, Endowed Leonard Weiner, MD, Professor and Chief of Division of Plastic Surgery, Residency Program Director, University of Louisville School of Medicine
Contributor Information and Disclosures

Updated: Jul 18, 2008

Multimedia

Preoperative view of a 28-year-old female patient...
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Media file 1: Preoperative view of a 28-year-old female patient who presented to surgical service and reported fullness and enlarging mass of the anterior abdominal wall. Diagnosis was made of a desmoid tumor of the anterior abdominal wall. Plastic surgery was consulted for tumor removal and abdominal wall reconstruction. Image courtesy of Elsevier.
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Preoperative view of a 28-year-old female patient...

Preoperative view of a 28-year-old female patient who presented to surgical service and reported fullness and enlarging mass of the anterior abdominal wall. Diagnosis was made of a desmoid tumor of the anterior abdominal wall. Plastic surgery was consulted for tumor removal and abdominal wall reconstruction. Image courtesy of Elsevier.

Intraoperative view after removal of the tumor, s...
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Media file 2: Intraoperative view after removal of the tumor, showing defect size. The abdominal wall fascial defect measured approximately 30 cm X 20 cm. Image courtesy of Elsevier.
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Intraoperative view after removal of the tumor, s...

Intraoperative view after removal of the tumor, showing defect size. The abdominal wall fascial defect measured approximately 30 cm X 20 cm. Image courtesy of Elsevier.

Intraoperative view after implantation of expande...
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Media file 3: Intraoperative view after implantation of expanded polytetrafluoroethylene (e-PTFE) mesh to close the defect. e-PTFE was chosen because of its smooth microporous (3 pores) surface on one side and corrugated (rough)surface on the other side. Image courtesy of Elsevier.
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Intraoperative view after implantation of expande...

Intraoperative view after implantation of expanded polytetrafluoroethylene (e-PTFE) mesh to close the defect. e-PTFE was chosen because of its smooth microporous (3 pores) surface on one side and corrugated (rough)surface on the other side. Image courtesy of Elsevier.

Postoperative view with well-healed scar and no e...
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Media file 4: Postoperative view with well-healed scar and no evidence of recurrence. Image courtesy of Elsevier.
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Postoperative view with well-healed scar and no e...

Postoperative view with well-healed scar and no evidence of recurrence. Image courtesy of Elsevier.

This drawing illustrates the component separation...
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Media file 5: This drawing illustrates the component separation technique. A longitudinal incision is made at the semilunar line, and the relative vascular plane is dissected between the external and internal oblique muscles. Incising the anterior rectus sheath allows for advancement of musculofascial components medially. Image courtesy of Elsevier.
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This drawing illustrates the component separation...

This drawing illustrates the component separation technique. A longitudinal incision is made at the semilunar line, and the relative vascular plane is dissected between the external and internal oblique muscles. Incising the anterior rectus sheath allows for advancement of musculofascial components medially. Image courtesy of Elsevier.

More on Abdominal Wall Reconstruction

Overview: Abdominal Wall Reconstruction
Treatment: Abdominal Wall Reconstruction
Follow-up: Abdominal Wall Reconstruction
Multimedia: Abdominal Wall Reconstruction
References
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References

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Further Reading

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Keywords

abdominal wall reconstruction, abdominal reconstruction, abdominal defect, abdominal wall defect, tissue rearrangement, regional flap, free tissue transfer, abdominal layer, abdominal wall, abdominal procedure, abdomen defect, abdominal wall function, ventral hernia repair, ventral defect, abdominal viscera herniation, hernia, hernia reconstruction, incisional hernia, celiotomy, intraabdominal pressure, herniorrhaphies, desmoid tumor, abdominal tumor, abdominal gunshot injury, abdominal gunshot

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Contributor Information and Disclosures

Author

Mark A Grevious, MD, FACS, Assistant Professor of Surgery, Associate Program Director, Division of Plastic and Reconstructive Surgery, University of Illinois at Chicago
Mark A Grevious, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, and Association for Academic Surgery
Disclosure: Nothing to disclose.

Coauthor(s)

Mimis Cohen, MD, FACS, FAAP, Professor and Chief, Division of Plastic, Reconstructive and Cosmetic Surgery, University of Illinois at Chicago; Consulting Staff Craniofacial Center, University of Illinois at Chicago
Mimis Cohen, MD, FACS, FAAP is a member of the following medical societies: American Academy of Pediatrics, American Association of Pediatric Plastic Surgeons, American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic and Reconstructive Surgery, Association for the Advancement of Automotive Medicine, Chicago Medical Society, Illinois State Medical Society, and Plastic Surgery Research Council
Disclosure: Nothing to disclose.

Aisha D White, MBA, MD, Staff Physician, Department of Plastic Surgery, University of Illinois at Chicago
Disclosure: Nothing to disclose.

Bradon J Wilhelmi, MD, Endowed Leonard Weiner, MD, Professor and Chief of Division of Plastic Surgery, Residency Program Director, University of Louisville School of Medicine
Bradon J Wilhelmi, MD is a member of the following medical societies: Alpha Omega Alpha, American Association for Hand Surgery, American Association of Clinical Anatomists, American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, American Society of Plastic Surgeons, Association for Surgical Education, Plastic Surgery Research Council, and Wound Healing Society
Disclosure: Nothing to disclose.

Medical Editor

Dennis P Orgill, MD, PhD, Associate Professor, Harvard Medical School; Director, Burn Center, Brigham and Women's Hospital
Dennis P Orgill, MD, PhD is a member of the following medical societies: American Burn Association, American Medical Association, American Society for Reconstructive Microsurgery, Massachusetts Medical Society, and Plastic Surgery Research Council
Disclosure: Kinetic Concepts, Inc. Grant/research funds Principle Investigator; Marine Polymers  Grant/research funds Principle Investigator; Naval Blood Research Lab Grant/research funds Principle Investigator

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

R Edward Newsome, MD, Associate Professor, Program Director and Chief, Department of Surgery, Section of Plastic Surgery, Tulane University Health Sciences Center
R Edward Newsome, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, and Louisiana State Medical Society
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

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