Surgery of Complex Abdominal Wall Defects

219 Pages·2013·21.34 MB·English

by  Rifat Latifi MD

Rifat Latifi
Editor
Surgery of Complex
Abdominal Wall Defects
123
Surgery of Complex Abdominal Wall Defects

Rifat Lati fi
Editor
Surgery of Complex
Abdominal Wall Defects
Editor
Rifat Lati fi , MD, FACS
Department of Surgery
The University of Arizona
Tucson, Arizona
USA
Trauma Section, Department of Surgery
Weill Cornell Medical College
Hamad General Hospital
Doha , Qatar

ISBN 978-1-4614-6353-5 ISBN 978-1-4614-6354-2 (eBook)
DOI 10.1007/978-1-4614-6354-2
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2013939780
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To Dr. Stanley J. Dudrick, the father of modern surgical nutritional support,
my mentor, teacher, and friend, who taught me reoperative complex surgery
and how to care for most complex and dif fi cult surgical patients, and whose
extraordinary personal attributes and professional, educational, and scienti fi c
contributions will endure into future generations of surgeons all over the
world.

Foreword
A surgeon can do more for the community by operating on hernia cases and seeing that his recurrence rate is
low than he can by operating on cases of malignant disease.
Sir Cecil Wakely, 1948, president of the Royal College of Surgeon
Oh, if only it were that simple! Certainly, Sir Wakely was referring to inguinal and perhaps
umbilical hernias in this well-known quotation from the middle of the last century. I wonder if at
the time he could have imagined the true complexity of the problem: our limited understanding
of the dynamic physiology of abdominal wall tension and the need for more re fi ned surgical
techniques to manage abdominal wall defects. Perhaps most shocking of all to Sir Wakely might
have been the ability for patients to withstand and survive catastrophic illness resulting in com-
plex abdominal wall defects. Even as recently as 25 years ago, it was hard to believe that a patient
who had lost integrity of the abdominal wall as a result of injury, abdominal sepsis, or gastroin-
testinal failure could even survive, let alone return to functional status. However, with the evolu-
tion of resuscitation, operation, and surgical critical care for patients with devastating abdominal
injury and illness, a high survival rate is now a reality. With this, our ability to manage the atten-
dant complications, including complex abdominal wall defects with and without intestinal fi stula,
has improved dramatically. This has happened because the clinical circumstances have demanded
it, and our zeal to improve care is no less ardent than that of Sir Wakely over a half century ago.
The editor, Dr. Rifat Lati fi , and contributors to this work have produced what I believe is the
quintessential and seminal resource on this vexing and challenging topic. S urgery of Complex
Abdominal Wall Defects is the fi rst textbook of its kind to provide a comprehensive review of
modern management of abdominal wall problems. It eloquently reviews the anatomy and
physiology of the abdominal wall and the pathophysiology of abdominal wall defects. It pro-
vides a valuable history of abdominal wall repair and then systematically provides the latest
approach to operative repair, including preoperative preparation, acute management of the
open abdomen, the approach to the hostile abdomen in the intermediate term, critical strategies
in long-term reconstruction, and the full spectrum of special circumstances that arise along the
way. Nowhere will you fi nd a more comprehensive and practical guide for the management of
these patients. If nothing else, this text provides the fundamental context in which these prob-
lems will be discussed and in which future advances are made.
I commend the authors on this accomplishment, and I encourage the readers to pay close
attention to the content. Herein lies the state-of-the-art surgical management for patients with
complex abdominal wall defects. Sir Wakely would be proud to know how far the art and sci-
ence of the approach to these patients have come.
Greenville, NC, USA Michael F. Rotondo, MD, FACS
vii

Disclosure
Dr. Rifat Lati fi is a speaker for LifeCell Corporation and has received a grant through
International Virtual e-Hospital Foundation, a not-for-pro fi t organization that made possible
administrative support and secretarial help for this book.
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