BACKGROUND Transverse rectus abdominis myocutaneous (TRAM) flap reconstruction after mastectomy in breast cancer patients has become one of the milestones in breast reconstruction. There are several techniques that have been used in an attempt to minimize untoward complications. We present the whole muscle with partial sheath-sparing technique that focuses on the anatomy of arcuate line and the...

We report on a patient with an abdominal wall abscess that developed after an inguinal hernia repair that utilized synthetic mesh. Mycobacterium goodii, a recently recognized, rapidly growing mycobacterium related to M. smegmatis, was isolated both from the abdominal wall aspirate and from surgically drained material. Infection resolved following thorough debridement, mesh removal, and prolonge...

BACKGROUND Preclinical studies have demonstrated that macroporous silk fibroin protein scaffolds are capable of promoting physiologically durable supportive tissue, which favors application of these engineered tissues for clinical implantation. The safety and effectiveness of a long-lasting, transitory, 510(k)-cleared purified silk fibroin biologic scaffold (SBS) are investigated for soft-tissu...

When abdominal pain is chronic and unremitting, with minimal or no relationship to eating or bowel function but often a relationship to posture (i.e., lying, sitting, standing), the abdominal wall should be suspected as the source of pain. Frequently, a localized, tender trigger point can be identified, although the pain may radiate over a diffuse area of the abdomen. If tenderness is unchanged...

BACKGROUND The surgical repair of abdominal wall defects that cannot be closed primarily in contaminated fields is a difficult problem. The use of nonabsorbable synthetic materials usually is contraindicated in this setting because of the risk for colonization and chronic infection of the mesh. In this study we sought to determine the safety and efficacy of implanted human acellular dermal graf...

The goal of abdominal wall reconstruction is to restore and maintain abdominal domain. A PubMed(R) review of the literature (including "old" MEDLINE through February 2007) suggests that bioprosthetic materials are increasingly used to facilitate complex abdominal wall reconstruction. Reported results (eight case reports/series involving 137 patients) are encouraging. The most commonly reported ...

To cite: Sutton PA, JennerO’Brien M, Monk D. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200333 DESCRIPTION A 50-year-old woman presented generally unwell and septic with some vague abdominal pain. She had a background of severe chronic obstructive pulmonary disease and bronchiectasis and was known to have a large incarcerated left-sided inguinal hernia. S...

According to classic definition, hernia is a “displacement of parietal peritoneum and abdominal organs though a defect in the abdominal wall (natural or resulting from congenital defects) or a defect resulting from a disease condition or injury of abdominal wall (postoperative scars)” (1) This definition assumes existence of hernial orifice, hernial sac and its contents. Has this definition sto...

Fixation of mesh is most significant step of surgery in laparoscopic ventral hernia repair. Since the inception of laparoscopic ventral hernia repair, techniques of mesh fixation over the abdominal wall defects have been the topic of huge debate. It is not only a matter of personal convenience but may influence the various outcomes of the surgery. In spite of that, we are far away from reaching...