1 Clinical Anatomy ▴ Perineal hernias are caused by a defect in the pelvic floor and can be classified based on location and cause ( Fig. 14.1 ). ▴ A perineal hernia defect is classified as either anterior or posterior…
1 Clinical Anatomy of the Anterior Abdominal Wall 1 Relevant General Anatomy ▴ When considering panniculectomy in the setting of abdominal hernia repair, important anatomic considerations include the underlying musculature, aponeurotic layers, and adipocutaneous structures. These components are interrelated and…
1 Clinical Anatomy ▴ Comprehensive knowledge of the lateral abdominal wall muscles is required to understand the function of these muscles and to ensure adequate coverage with botulinum toxin (BTX). ▴ External oblique fibers run inferomedially to provide lateral flexion…
1 Clinical Anatomy ▴ Tissue expansion is a valuable tool that can be used to help reconstruct soft tissue defects of the abdominal wall. These defects can be classified as congenital or acquired; the former result from issues such as…
1 Introduction ▴ Anterior endoscopic component separation (ECS) creates a compound flap from the rectus abdominis, internal oblique, and transversus abdominis muscles that can be advanced across the abdominal wall to close defects with minimal tension. ECS contributes to the…
1 Introduction ▴ Surgical site occurrences and surgical site infections (SSIs) are serious complications of ventral hernia repair. Both surgical site occurrences and SSIs are related to technical factors directly under the surgeon’s control. ▴ Component release hernia repair need…
1 Clinical Anatomy ▴ Thorough knowledge of the abdominal wall anatomy is needed when performing a ventral hernia repair. ▴ The rectus abdominis consists of a pair of vertically oriented muscles that span the length of the abdominal wall and…
1 Introduction ▴ Many open and laparoscopic techniques for parastomal herniorrhaphy have been described, and each technique has its own strengths and weaknesses. In this chapter, we describe our preferred method for open parastomal herniorrhaphy: posterior component separation (PCS) with…
1 Clinical Anatomy ▴ Flank hernias can be divided broadly by etiology into hernias that are congenital in nature and hernias that are acquired, often after previous surgery or trauma. Congenital flank hernias, also known as lumbar hernias, are less…
1 Clinical Anatomy ▴ Retrorectus repair requires a thorough knowledge of the relative anatomy of the myofascial components of the abdominal wall. ▴ The rectus abdominis, a long, broad, straplike muscle, is the principal vertical muscle of the anterior abdominal…