Different Modalities in Management of Anterior Abdominal Wall Defects

Abstract

A cquired abdominal wall defects can occur as the result of postoperative wound complications, trauma, or surgical resection. Deformity of the abdominal wall can impair physical movements such as walking, bending and maintenance of body posture. Abdominal wall defects may also impair physiologic activities such as coughing, sneezing, defecation and micturation. The restoration of the integrity of the abdominal wall, provide dynamic support and protect the abdominal contents are the primary goals of the reconstruction of the abdominal wall defects. Knowledge of abdominal wall anatomy as it relates to the defect is paramount in planning the appropriate management. Reconstruction of the myofascial layer restores visceral support and structural stability, also, the reconstruction of the cutaneous layer provides wound closure and aesthetic outcome. The preoperative evaluation including complete history and physical, general medical evaluation, basic laboratory work, and diagnostic and radiological studies together with evaluating wound bed with careful examination of the tissues surrounding the defect either presence of acute inflammation and oedema or not, plays an important role in determining the appropriate reconstructive modality for an abdominal wall defect.