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5건 · 최신순-
Decreased utilization of component separation techniques over time in complex abdominal wall reconstruction following introduction of preoperative botulinum toxin A.
[INTRODUCTION] Component separation technique (CST) facilitates anterior fascial closure but can increase wound morbidity and alter abdominal wall anatomy. Preoperative Botulinum toxin A (BTA) relaxes the oblique musculature, potentially re…
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Open preperitoneal abdominal wall reconstruction (AWR) for patients with deep inferior epigastric perforator (DIEP) or transverse rectus abdominis myocutaneous (TRAM) flap hernias.
[BACKGROUND] Donor site hernias or eventrations are a known complication of DIEP or TRAM flap breast reconstruction. Surgical management of these complex hernias can be challenging due to missing or atrophic rectus muscle. The purpose of th…
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Preoperative Botulinum Toxin A (BTA) injection in abdominal wall reconstruction for subxiphoid (M1) hernias.
[INTRODUCTION] Preoperative BTA assists with fascial closure during abdominal wall reconstruction. Its efficacy in subxiphoid (M1) hernias has been questioned with high rates of component separation techniques (CST) despite BTA. To assess t…
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Does defect size matter in abdominal wall reconstruction with successful fascial closure?
[BACKGROUND] Conflicting literature suggests that larger defects in abdominal wall reconstruction both increase the risk of recurrence and have no impact on recurrence. In our prior work, hernias with defect areas ≥100 cm were associated wi…
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Are outcomes of giant ventral hernia repair inferior? A propensity-matched analysis.
[BACKGROUND] Ventral hernia repair (VHR) of large defects poses significant technical challenges due to the size of the hernia and complexity of operative techniques required for fascial closure. This study examined clinical outcomes in "gi…