Abdominal Wall Reconstruction in Patients with Digestive Tract Fistulas

Eric K Johnson; Pamela L Tushoski

doi:10.1055/s-0030-1262988

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2010; 23(3): 195-208
DOI: 10.1055/s-0030-1262988

Abdominal Wall Reconstruction in Patients with Digestive Tract Fistulas

Eric K. Johnson¹ , Pamela L. Tushoski²

¹Colorectal Surgery and Surgical Endoscopy, Dwight David Eisenhower Army Medical Center, Ft. Gordon, Georgia
²General Surgery, Dwight David Eisenhower Army Medical Center, Ft. Gordon, Georgia

Abstract

ABSTRACT

Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basic approach to this problem is described.

KEYWORDS

Abdominal wall reconstruction - enterocutaneous fistula - hernia

Full Text

References

REFERENCES

1 Tremblay L N, Feliciano D V, Schmidt J et al.. Skin only or silo closure in the critically ill patient with an open abdomen. Am J Surg. 2001; 182(6) 670-675
2 Mayberry J C, Burgess E A, Goldman R K, Pearson T E, Brand D, Mullins R J. Enterocutaneous fistula and ventral hernia after absorbable mesh prosthesis closure for trauma: the plain truth. J Trauma. 2004; 57(1) 157-162, discussion 163–3
3 Jernigan T W, Fabian T C, Croce M A et al.. Staged management of giant abdominal wall defects: acute and long-term results. Ann Surg. 2003; 238(3) 349-355, discussion 355–357
4 Bee T K, Croce M A, Magnotti L J et al.. Temporary abdominal closure techniques: a prospective randomized trial comparing polyglactin 910 mesh and vacuum-assisted closure. J Trauma. 2008; 65(2) 337-342, discussion 342–344
5 Joels C S, Vanderveer A S, Newcomb W L et al.. Abdominal wall reconstruction after temporary abdominal closure: a ten-year review. Surg Innov. 2006; 13(4) 223-230
6 Dionigi G, Dionigi R, Rovera F et al.. Treatment of high output entero-cutaneous fistulae associated with large abdominal wall defects: single center experience. Int J Surg. 2008; 6(1) 51-56
7 Rodriguez E D, Bluebond-Langner R, Silverman R P et al.. Abdominal wall reconstruction following severe loss of domain: the R Adams Cowley Shock Trauma Center algorithm. Plast Reconstr Surg. 2007; 120(3) 669-680
8 Ramirez O M, Ruas E, Dellon A L. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990; 86(3) 519-526
9 Wind J, van Koperen P J, Slors J F, Bemelman W A. Single-stage closure of enterocutaneous fistula and stomas in the presence of large abdominal wall defects using the components separation technique. Am J Surg. 2009; 197(1) 24-29
10 Connolly P T, Teubner A, Lees N P, Anderson I D, Scott N A, Carlson G L. Outcome of reconstructive surgery for intestinal fistula in the open abdomen. Ann Surg. 2008; 247(3) 440-444
11 de Vries Reilingh T S, van Goor H, Charbon J A et al.. Repair of giant midline abdominal wall hernias: “components separation technique” versus prosthetic repair : interim analysis of a randomized controlled trial. World J Surg. 2007; 31(4) 756-763
12 Dragu A, Klein P, Unglaub F et al.. Tensiometry as a decision tool for abdominal wall reconstruction with component separation. World J Surg. 2009; 33(6) 1174-1180
13 Vargo D. Component separation in the management of the difficult abdominal wall. Am J Surg. 2004; 188(6) 633-637
14 Shabatian H, Lee D J, Abbas M A. Components separation: a solution to complex abdominal wall defects. Am Surg. 2008; 74(10) 912-916
15 de Vries Reilingh T S, van Goor H, Rosman C et al.. “Components separation technique” for the repair of large abdominal wall hernias. J Am Coll Surg. 2003; 196(1) 32-37
16 Howdieshell T R, Proctor C D, Sternberg E, Cué J I, Mondy J S, Hawkins M L. Temporary abdominal closure followed by definitive abdominal wall reconstruction of the open abdomen. Am J Surg. 2004; 188(3) 301-306
17 Lowe III J B, Lowe J B, Baty J D, Garza J R. Risks associated with “components separation” for closure of complex abdominal wall defects. Plast Reconstr Surg. 2003; 111(3) 1276-1283, quiz 1284–1285, discussion 1286–1288
18 Ewart C J, Lankford A B, Gamboa M G. Successful closure of abdominal wall hernias using the components separation technique. Ann Plast Surg. 2003; 50(3) 269-273, discussion 273–274
19 Carbonell A M, Cobb W S, Chen S M. Posterior components separation during retromuscular hernia repair. Hernia. 2008; 12(4) 359-362
20 Ennis L S, Young J S, Gampper T J, Drake D B. The “open-book” variation of component separation for repair of massive midline abdominal wall hernia. Am Surg. 2003; 69(9) 733-742, discussion 742–743
21 Tobias A M, Low D W. The use of a subfascial vicryl mesh buttress to aid in the closure of massive ventral hernias following damage-control laparotomy. Plast Reconstr Surg. 2003; 112(3) 766-776
22 Kingsnorth A N, Shahid M K, Valliattu A J, Hadden R A, Porter C S. Open onlay mesh repair for major abdominal wall hernias with selective use of components separation and fibrin sealant. World J Surg. 2008; 32(1) 26-30
23 Rosen M J, Jin J, McGee M F, Williams C, Marks J, Ponsky J L. Laparoscopic component separation in the single-stage treatment of infected abdominal wall prosthetic removal. Hernia. 2007; 11(5) 435-440
24 Stark B, Strigård K. Definitive reconstruction of full-thickness abdominal wall defects initially treated with skin grafting of exposed intestines. Hernia. 2007; 11(6) 533-536
25 Hadad I, Small W, Dumanian G A. Repair of massive ventral hernias with the separation of parts technique: reversal of the ‘lost domain’. Am Surg. 2009; 75(4) 301-306
26 Rosen M J, Williams C, Jin J et al.. Laparoscopic versus open-component separation: a comparative analysis in a porcine model. Am J Surg. 2007; 194(3) 385-389
27 Milburn M L, Shah P K, Friedman E B et al.. Laparoscopically assisted components separation technique for ventral incisional hernia repair. Hernia. 2007; 11(2) 157-161
28 Maas S M, van Engeland M, Leeksma N G, Bleichrodt R P. A modification of the “components separation” technique for closure of abdominal wall defects in the presence of an enterostomy. J Am Coll Surg. 1999; 189(1) 138-140
29 Liyanage S H, Purohit G S, Frye J NR, Giordano P. Anterior abdominal wall reconstruction with a Permacol implant. J Plast Reconstr Aesthet Surg. 2006; 59(5) 553-555
30 Parker D M, Armstrong P J, Frizzi J D, North Jr J H. Porcine dermal collagen (Permacol) for abdominal wall reconstruction. Curr Surg. 2006; 63(4) 255-258
31 Shaikh F M, Giri S K, Durrani S, Waldron D, Grace P A. Experience with porcine acellular dermal collagen implant in one-stage tension-free reconstruction of acute and chronic abdominal wall defects. World J Surg. 2007; 31(10) 1966-1972, discussion 1973–1974, 1975
32 Hsu P W, Salgado C J, Kent K et al.. Evaluation of porcine dermal collagen (Permacol) used in abdominal wall reconstruction. J Plast Reconstr Aesthet Surg. 2009; 62(11) 1484-1489
33 Franklin Jr M E, Gonzalez Jr J J, Glass J L. Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia. 2004; 8(3) 186-189
34 Ueno T, Pickett L C, de la Fuente S G, Lawson D C, Pappas T N. Clinical application of porcine small intestinal submucosa in the management of infected or potentially contaminated abdominal defects. J Gastrointest Surg. 2004; 8(1) 109-112
35 Helton W S, Fisichella P M, Berger R, Horgan S, Espat N J, Abcarian H. Short-term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg. 2005; 140(6) 549-560, discussion 560–562
36 Jin J, Rosen M J, Blatnik J et al.. Use of acellular dermal matrix for complicated ventral hernia repair: does technique affect outcomes?. J Am Coll Surg. 2007; 205(5) 654-660
37 Espinosa-de-los-Monteros A, de la Torre J I, Marrero I, Andrades P, Davis M R, Vásconez L O. Utilization of human cadaveric acellular dermis for abdominal hernia reconstruction. Ann Plast Surg. 2007; 58(3) 264-267
38 Patton Jr J H, Berry S, Kralovich K A. Use of human acellular dermal matrix in complex and contaminated abdominal wall reconstructions. Am J Surg. 2007; 193(3) 360-363, discussion 363
39 Bellows C F, Albo D, Berger D H, Awad S S. Abdominal wall repair using human acellular dermis. Am J Surg. 2007; 194(2) 192-198
40 Blatnik J, Jin J, Rosen M. Abdominal hernia repair with bridging acellular dermal matrix—an expensive hernia sac. Am J Surg. 2008; 196(1) 47-50
41 de Moya M A, Dunham M, Inaba K et al.. Long-term outcome of acellular dermal matrix when used for large traumatic open abdomen. J Trauma. 2008; 65(2) 349-353
42 Misra S, Raj P K, Tarr S M, Treat R C. Results of AlloDerm use in abdominal hernia repair. Hernia. 2008; 12(3) 247-250
43 Bluebond-Langner R, Keifa E S, Mithani S, Bochicchio G V, Scalea T, Rodriguez E D. Recurrent abdominal laxity following interpositional human acellular dermal matrix. Ann Plast Surg. 2008; 60(1) 76-80
44 Taner T, Cima R R, Larson D W, Dozois E J, Pemberton J H, Wolff B G. Surgical treatment of complex enterocutaneous fistulas in IBD patients using human acellular dermal matrix. Inflamm Bowel Dis. 2009; 15(8) 1208-1212
45 Maurice S M, Skeete D A. Use of human acellular dermal matrix for abdominal wall reconstructions. Am J Surg. 2009; 197(1) 35-42
46 Lin H J, Spoerke N, Deveney C, Martindale R. Reconstruction of complex abdominal wall hernias using acellular human dermal matrix: a single institution experience. Am J Surg. 2009; 197(5) 599-603, discussion 603
47 Pomahac B, Aflaki P. Use of a non-cross-linked porcine dermal scaffold in abdominal wall reconstruction. Am J Surg. 2010; 199(1) 22-27
48 Espinosa-de-Los-Monteros A, de la Torre J I, Ahumada L A, Person D W, Rosenberg L Z, Vásconez L O. Reconstruction of the abdominal wall for incisional hernia repair. Am J Surg. 2006; 191(2) 173-177

Eric K JohnsonM.D.

Department of Surgery, Eisenhower Army Medical Center

300 Hospital Rd., Ft. Gordon, GA 30905

Email: doktrj@gmail.com