2014 AWR / Georgetown Conference: Symposium
The Role of Biologics in Abdominal Wall Reconstruction
Part 1 Presented by:
Jesse C. Selber, MD, MPH, FACS
Associate Professor
Director of Clinical Research
Department of Plastic Surgery
Clinical Site Director, MD Anderson Cancer Network
The University of Texas MD Anderson Cancer Center
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1) Intro/Background: Rationale for Mesh in Hernia Repair
2) Comparing Synthetic and Biologic Mesh
3) When Biologic Mesh is Appropriate: VHWG Grading
4) Bridging vs. Primary Myofascial Closure
5) Perforator Sparing Techniques
- Example #1: Bridge Repair with SurgiMend and Pedicled ALT Flap
- Example #2: Recurrent Hernia in the Groin with Loss of Domain Repaired with SurgiMend and a Pedicled ALT Flap
- Example #3: Chronic Open Abdomen Repaired with SurgiMend and Vacuum-Assisted Closure
7) Comparing Various Biologic Meshes:
- Past Experience with Alloderm in Hernia Repair
- SurgiMend vs. Strattice: MD Anderson Published Clinical Data
- SurgiMend vs. Strattice: Mechanical Properties Data
- SurgiMend vs. Strattice and Alloderm: Long Term Superiority
8) Technique Matters: Procedural Technique Video & SurgiMend-e
9) Summary
Part 2 Presented by:
David M. Adelman, MD, PhD, FACS
Assistant Professor
Department of Plastic Surgery
The University of Texas MD Anderson Cancer Center
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1) Intro and Considerations: Defining Integration
2) Thoughts on Repair Techniques in AWR
- General Technique Commentary
- Underlay Technique
- Debriding the Peritoneum for Increased Adherence
- Component Separation Technique
- Perforator Sparing Technique
3) Case Example #1: Large Ventral Hernia Repair
4) Case Example #2: Right Flank/Subcostal Hernia with Long Term Follow-up
5) Case Example #3: Hemipelvectomy Defect: Strength Matters
6) Case Example #4: Enterocutaneous Fistula: Contaminated Fields
8) Case Example #6: Evisceration in a Poor Healer: Open Abdomen with Vacuum-assisted Closure
9) Case Example #7: Hernia Repair in an Immunosuppressed Patient with Infectious Complications