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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1101_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Foreword
- •Disclosure
- •Reason 8: Need for a Multidisciplinary Approach
- •References
- •Acknowledgments
- •Contents
- •Contributors
- •Reason 1: Surgeons’ Need
- •Reason 2: Patients’ Need
- •Reason 3: Need to Share Knowledge and the Existing Expertise
- •Reason 4: Frequency of Abdominal Wall Defects
- •Reason 5: Complexity of Most Abdominal Wall Defects
- •Reason 6: Three Principles of Surgical Care
- •Reason 7: New Technologies
- •1: Intraoperative Decision-Making Process: The Art and the Science
- •Introduction
- •The Anatomy of Surgeons’ Intraoperative Decisions
- •Intraoperative Endpoints of Resuscitation
- •Damage Control on Demand
- •Staged Operations
- •Temporary Closure
- •Summary
- •References
- •2: History of Abdominal Wall Repair: In Search of New Techniques and Materials
- •Introduction
- •Early Reports in the Annals of Surgery
- •Prosthetic Materials
- •Finding the Perfect Mesh
- •Nonabsorbable Mesh
- •Absorbable Mesh
- •Laparoscopic Repair
- •Conclusion
- •References
- •3: Anatomy and Physiology of the Abdominal Wall: Surgical Implications
- •Introduction
- •Anatomical Boundaries
- •Abdominal Wall Distensibility
- •Surgical Implications
- •Conclusion
- •References
- •Causes of Complex Abdominal Wall Defects
- •Abdominal Wall Infections and Recurrent Incisional Hernias
- •Damage Control, the Open Abdomen and Approach
- •Resection of Abdominal Wall Tumors
- •The Biology of Complex Abdominal Wall Defects
- •Complex Recurrent Incisional Hernias and the Pathophysiology of Wound Healing of the Abdominal Wall
- •Biological and Mechanical Factors Involved
- •Local and General Factors Affecting Wound Healing
- •Local Factors
- •Closure Under Tension and Blood Supply
- •Hematoma
- •Infection
- •Irradiation
- •Mechanical Stress
- •Surgical Technique
- •Tissue Type
- •General Factors
- •Anemia
- •Diabetes
- •Nutrition
- •Steroids
- •Jaundice
- •Malignant Disease
- •Obesity
- •Temperature
- •Trauma, Hypovolemia, and Hypoxia
- •Uremia
- •Complex Abdominal Wall Defects from Damage Control Surgery and the Open Abdomen
- •Summary
- •References
- •5: Preoperative Patient Optimization
- •Introduction
- •Preoperative Optimization
- •Preoperative Evaluation
- •Timing of the Surgical Repair
- •Preoperative Evaluation Clinic
- •Assessing the Perioperative Risk
- •Neurological System Evaluation
- •Cardiovascular System Evaluation
- •Respiratory System Evaluation
- •Renal System Evaluation
- •Gastrointestinal System Evaluation
- •Endocrine System Evaluation
- •Hematologic and Coagulation Evaluation
- •Infections
- •Nutritional Evaluation and Optimization
- •Control of Premorbid Conditions
- •Social and Addiction Issues
- •Prevention Strategies
- •Summary
- •References
- •Introduction
- •Diagnosis
- •Ultrasonography
- •Postoperative Radiologic Assessment
- •Recurrence
- •Computerized Scan
- •Barium Studies with Small-Bowel Follow-Through
- •Magnetic Resonance Imaging
- •Operative Planning Guided by Imaging Techniques
- •Intraoperative Guidance
- •Summary
- •References
- •Anatomy
- •Acute Setting
- •Leaving the Abdomen Open
- •“Closing” the Abdomen
- •Towel Clip Closure
- •Suture Closure
- •Retention Sutures
- •Temporary Silos
- •Combination Closure
- •Vacuum-Assisted Wound Closure
- •Open Packing
- •Skin Graft
- •Chronic Conditions
- •Indications for Surgical Repair
- •Comorbidities
- •Materials
- •Synthetic Mesh
- •Biologic Mesh
- •Grading System
- •Principles of Repair
- •Mesh Placement
- •Other Surgical Approaches
- •Autogenous Reconstruction
- •Tissue Expanders
- •Laparoscopy
- •Minimally Invasive Techniques
- •Summary
- •References
- •8: Surgical Strategies in the Management of Open Abdomen
- •Introduction
- •Considerations Before Closure
- •Conduct of the “Take-Back” Operation
- •Temporary Abdominal Closure Techniques
- •ABThera ™
- •Vacuum-Assisted Closure
- •Poor-Man’s VAC
- •Bogota Bag
- •Wittman Patch
- •Surgical Zipper
- •Skin-Only Closure
- •Considerations in the Patient with a Temporary Abdominal Closure
- •Management of Complications of Open Abdomen
- •Abscess
- •Hernia
- •Fistula
- •Conclusion
- •References
- •9: Practical Approach to Patient with a Hostile Abdomen
- •Introduction
- •Key Questions
- •Preoperative Conditions
- •Scenario 1
- •Scenario 2
- •Scenario 3
- •Creating a Surgical Plan
- •Involving the Patient
- •Timing of the Operation
- •Preparing for the Operation
- •Entering the “Frozen Lake”
- •Mobilizing the Entire GI Tract
- •How Much of the Intestines to Resect and How to Create the Anastomoses
- •Close or Cover the Abdomen
- •Summary
- •References
- •10: Complex Abdominal Wall Reconstruction: The Plastic Surgeon’s Perspective
- •Introduction
- •Current Indications for Utilization of Bioprosthetic Mesh
- •Patient Selection
- •Abdominal Wall Reconstruction Principles
- •Component Separation Technique
- •Staged Abdominal Wall Reconstruction
- •Postoperative Care
- •Conclusions
- •References
- •11: Staged Reconstructions of Abdominal Wall Defects
- •Introduction
- •Three Stages of Reconstruction
- •Stage 1: Temporary Abdominal Closure
- •Stage 2: The Maturation Period
- •Tensor Fascia Latae Flap for Abdominal Wall Reconstruction
- •Selection of the Appropriate Reconstruction Method
- •Summary
- •References
- •12: Selection of Prosthetic Materials in the Repair of Complex Abdominal Wall Defects
- •Introduction
- •Considerations When Selecting Prosthetic Materials for the Management of CAWD
- •Prosthetic Mesh
- •Synthetic Non-absorbable Polymers
- •Polypropylene
- •Polyester
- •Expanded Polytetrafluoroethylene (ePTFE)
- •Absorbable Synthetic Polymers
- •Composites
- •Biologic Prosthetics
- •Fibrin Sealant in Hernia Repairs
- •Complications
- •Conclusion
- •References
- •13: Reconstruction of Abdominal Wall in Trauma Patients After Damage Control
- •Introduction
- •Damage Control
- •Extending Damage Control in the ICU
- •Damage Control Resuscitation
- •Damage Control Ventilation
- •Damage Control Nutrition
- •Damage Control Infection Management
- •Temporary Abdominal Wall Closure Options
- •Early Abdominal Wall Closure
- •Complications of Abdominal Wall Reconstruction
- •Conclusion
- •References
- •Introduction
- •Conclusion
- •References
- •15: Abdominoplasty and Panniculectomy in the Presence of Abdominal Wall Hernias
- •Introduction
- •Clinical Anatomy
- •Skin and Subcutaneous Fat
- •Anterior Rectus Sheath and Linea Alba
- •Vascularity and Innervation
- •Preoperative Considerations
- •Assessment of Risk Factors
- •Prior Hernia Surgical History
- •Operative Steps
- •Design Patterns for Panniculectomy
- •Technique of Perforator Sparing
- •Technique of Skin and Fat Excision
- •Closure Techniques
- •Clinical Example
- •Postoperative Care
- •Management of Complications
- •Conclusions
- •References
- •Introduction
- •A Nine-Step Treatment Strategy
- •Step 2: S = Sepsis Control
- •Step 3: O = Optimization of Nutrition
- •Step 4: W = Wound Care
- •Step 6: T = Time of Operation or Takedown of ECF
- •Step 7: S = Surgical Creativity
- •Surgical Approach
- •One Alternative Approach
- •Issues with Adhesiolysis
- •Fistula Resection
- •Anastomoses
- •Choice of Mesh
- •Mesh Placement
- •Onlay Placement
- •Underlay Placement
- •Interposition or Bridge Placement
- •Step 8: P = Postoperative Care
- •Step 9: L = Long-Term Follow-Up
- •Summary
- •References
- •17: Abdominal Wall Closure in Recipients of Intestinal and Multivisceral Transplants
- •Introduction
- •Abdominal Wall
- •Graft Retrieval
- •Implantation
- •Timing
- •Monitoring of the Graft
- •Immunosuppression/Rejection
- •Results
- •Ethical Considerations
- •Fascia of Rectus Muscle
- •Graft Retrieval
- •Storage and Implantation
- •Timing
- •Monitoring of the Graft and Immunosuppression
- •Results
- •Conclusions
- •References
- •18: Minimally Invasive Component Separation in the Repair of Large Abdominal Wall Defects
- •Introduction
- •Component Separation Technique
- •Minimally Invasive Component Separation Technique
- •Introduction
- •Minimally Invasive Component Separation Technique Without the Use of Video-Assisted Equipment
- •Video-Assisted Component Separation Technique
- •Comparing Results from Different Component Separation Techniques
- •Preoperative Care
- •Surgical Technique: General Considerations
- •Step-by-Step Surgical Technique
- •Step 1
- •Step 2
- •Step 3
- •Step 4
- •Step 5
- •Step 6
- •Postoperative Care
- •Special Situations
- •The Open Abdomen
- •The Use of Tissue Expanders
- •Stomas
- •Previous Component Separation
- •Summary
- •References
- •19: Laparoscopic Techniques in the Repair of Large Defects
- •Introduction
- •Patient Preparation, Equipment, and Positioning
- •Surgical Technique
- •Postoperative Care
- •Complications and Outcome
- •References
- •20: Perioperative Surgical Consideration of Patient Undergoing Abdominal Wall Reconstruction
- •Introduction
- •Preoperative Preparation
- •Indications for and Timing of Surgery
- •Operative Approach
- •Intraoperative Considerations
- •Other Tissue Transfer
- •Postoperative Care
- •Postoperative Complications
- •Summary
- •References
- •21: Abdominal Compartment Syndrome and Hypertension in Patients Undergoing Abdominal Wall Reconstruction
- •Introduction
- •Preoperative Considerations for Prevention of IAH/ACS
- •Patient Selection
- •Size of Hernia: “Loss of Domain”
- •Size of Defect
- •Intraoperative Considerations
- •Postoperative Considerations
- •Postoperative Care/Monitoring
- •Therapy for Postoperative IAH/ACS
- •Medical/Minimally Invasive Therapy
- •Surgical Decompression
- •Summary
- •References
- •22: Short-Bowel Syndrome: A Clinical Update
- •Introduction
- •Pathophysiology of Short-Bowel Syndrome
- •Nutritional and Metabolic Management of Short-Bowel Syndrome
- •Immediate Postoperative Period
- •Bowel Adaptation Period
- •Long-Term Management Period
- •Surgical Considerations
- •Intestinal Transplantation in Patients with Short-Bowel Syndrome
- •Summary and Conclusions
- •References
- •23: Nutritional Management of Gastroenterocutaneous Fistulas
- •Introduction
- •Management of Enterocutaneous Fistulas
- •Total Parenteral Nutrition
- •Role of Somatostatin
- •Enteral Nutrition
- •Immune-Modulating Nutritional Supplementation
- •Conclusion
- •References
- •Index

208 Index
Tissue transfer, abdominal wall defect management ( cont. )
component separation method , 114–115
component separation method modi fi cations , 116
degree of tissue advancement , 115–116
musculoskeletal and neurovascular anatomy , 114
surgical procedure , 117–118
temporary abdominal wall closure , 113
Total parenteral nutrition (TPN)
abdominal wall reconstruction , 143
enteroatmospheric fi stulas , 66
GI fi stulas , 200
intra-abdominal sepsis , 69
short-bowel syndrome , 185, 189–190, 193, 194
Towel clip closure , 50
Trace elements , 202
U
Ultrasonography , 31–32
Underlay mesh placement, ECFs
abdominal wall reconstruction , 139
interposition Strattice graft , 142
Usher, F.C. , 6
V
Vacuum-assisted wound closure , 51, 60, 137
Ventilation, damage control , 97–98
Ventral hernia , 3, 5, 16, 113, 161
EAST de fi nition, timing , 26
prevalence , 167
repair , 52, 53, 56, 75, 90, 102
Visschers, R.G. , 133
Vogel, T.R. , 98
W
Weinberg, J.A. , 100
Wittman Patch
®
, 61, 62
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