Abdominal Wall Reconstruction

Abdominal Wall Reconstruction

Abdominal wall reconstruction is very complex reconstructive surgery primarily used for hernia repair, scar repair, and repair of previous surgical damage. The abdomen is composed of many layers; tissue, fat, and muscle that protect the internal organs. These layers function as a protecting wall and stabilization.

The formation or recreation of hernias weaken the walls of the abdomen. This leads to tissue and muscles of the abdominal all to deteriorate. With our highly skilled plastic and reconstructive surgeon, Dr. Jason D. Johnson, the abdominal muscles can be reconstructed and repaired by abdominal wall reconstructive surgery. In addition, we can rebuild skin and fascia if it is missing from previous surgery.

Abdominal wall reconstruction is sometimes performed with the help of general surgery or transplant surgery as part of a multidisciplinary team. Sometimes excess tissue such as a panniculectomy will also be performed.

Abdominal Wall Reconstruction

What to Expect

You and Dr. Johnson will discuss the procedure in detail so you understand how it will be performed, and you’ll have an opportunity to have your questions answered.

On the day of the procedure, you’ll receive general anesthesia via IV. Dr. Johnson will approach the defect with a vertical or horizontal scar. Once the abdominal skin is separated from the affected area, the weakened muscles and tissues will be reshaped placing them into a natural position. These layers sometimes will then be reinforced using surgical mesh to strengthen the muscles. Finalizing with sutures and closing the incision.

Recovery After Abdominal Wall Reconstruction

This is an in-patient procedure that requires patients to stay approximately five days following your reconstructive procedure. Our patients can return to their daily activities within two to five weeks, along with exercise six weeks after surgery. Although, please take primary instructions from Dr. Johnson on when it would be best to return to regular daily activities, work, and exercise.

Am I a candidate for abdominal wall reconstruction?

You may be a good candidate if:

  • You’re physically healthy
  • You’re not pregnant or breastfeeding
  • You have reoccurring hernias
  • You have infection that has developed after surgery
  • You have a wound that has developed after a hernia repair
  • You understand the risks that come along with surgery

What are the risks of abdominal wall reconstruction?

As with any surgery, abdominal wall reconstruction does pose some risks, risks include:

  • Anesthesia complications
  • Bleeding
  • Infection
  • Persistent pain
  • Possibility of revision surgery
  • Scarring
  • Scar tissue formation

What are the benefits of abdominal wall reconstruction?

Abdominal wall reconstruction is another option when traditional hernia repairs do not effectively treat the affected area and allows the repair of very complex hernias.

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