The Surgical Treatment Of Complex Abdominal Wall Hernias

Authors

  • Hashem Bark Awadh Abood
  • Hussain Ali Hasan
  • Ibrahim Hamad Al Mansour
  • Hussain Saleh Alomar
  • Al Amrah, Faris Jaralllah J
  • Alhudaithi, Hatim Fahad A
  • Hessa Mohammed Alfayadh
  • Ali Abdullah K. Alsalam
  • Sulaiman Ahmed S Alhindi
  • Haneen Hamad Alsultan
  • Nada Mohammed Alzahrani
  • Mohammad Jazi Alharbi

DOI:

https://doi.org/10.69980/ajpr.v27i2.28

Keywords:

complex abdominal wall hernias, surgical treatment, tension-free repair, synthetic mesh, biological mesh, component separation

Abstract

Complex abdominal wall hernias present significant challenges in surgical treatment due to their multifactorial nature, which may include previous surgical interventions, infections, and compromised tissue integrity. These hernias are often characterized by large defects in the abdominal wall with associated muscle weakness, leading to functional impairment and aesthetic concerns. The surgical approach to treating complex abdominal wall hernias typically involves a thorough preoperative assessment, including imaging studies to evaluate the extent of the hernia and surrounding structures. Treatment strategies may include tension-free repair techniques utilizing synthetic and biological meshes, allowing for reinforcement of the abdominal wall and reducing the risk of recurrence. Surgeons must also consider the patient's overall health, comorbidities, and potential complications when planning the surgical intervention. In addition to traditional repair techniques, recent advancements in the management of complex abdominal wall hernias have introduced innovative approaches such as component separation and progressive tension sutures. Component separation is a technique that involves mobilizing the lateral abdominal muscles to achieve primary closure of the hernia defect, which can be particularly useful in cases with significant tissue loss. Additionally, the use of biologic meshes has gained traction, especially in contaminated fields or in patients with poor tissue quality. Outcomes can be optimized through multidisciplinary collaboration, incorporating plastic surgeons, wound care specialists, and nutritionists to enhance the overall recovery process. Long-term follow-up is essential to monitor for recurrence and assess the functional outcomes of the surgical repair.

 

 

Author Biographies

Hashem Bark Awadh Abood

Consultant general surgery, king Fahad Hospital, Albaha, KSA.

Hussain Ali Hasan

Intern Doctor, Mansoura University Hospitals, Egypt.

Ibrahim Hamad Al Mansour

Medicine student, Batterjee Medical College, KSA.

Hussain Saleh Alomar

MBBS, Batterjee Medical College, KSA.

Al Amrah, Faris Jaralllah J

Medical student, Batterjee Medical College, KSA.

Alhudaithi, Hatim Fahad A

General Practice Physician, Qassim health cluster - King Saud Hospital Unaizah, Qassim University, KSA.

Hessa Mohammed Alfayadh

Medical student, Almaarefa University, Riyadh, KSA.

Ali Abdullah K. Alsalam

Pediatric Surgery, Qatif Central Hospital, KSA

Sulaiman Ahmed S Alhindi

Physician, Al-Jumum PHC, KSA

Haneen Hamad Alsultan

General physician, Excel Care Center, Medicine and Surgery, KSA

Nada Mohammed Alzahrani

OB/GYN resident, King Fahad Armed Forces Hospital, KSA

Mohammad Jazi Alharbi

General Practitioner, King Salman Hospital, KSA

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Published

2024-12-20

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Vol. 27 No. 2 (2024): American Journal of Psychiatric Rehabilitation

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