Abdominal wall defects, whether congenital or acquired, traumatic or iatrogenic, are one of the most common surgical challenges in the world. Very little consensus currently exists on the appropriate roles and indications for primary closure vs. mesh closure vs. muscle/fascia release and advancement techniques and subsequent outcomes. The recurrence rates for abdominal wall defect repairs remain high, and potential complications can be catastrophic, leading to far more complex defects than on original presentation. This meeting will be the most comprehensive course on abdominal wall reconstruction to date covering all aspects of the general principles of abdominal wall reconstruction, including anatomy, physiology, innervation of the abdominal wall, risk stratification, and recognizing early risk for failure. All options for abdominal wall reconstruction will be discussed in detail including primary vs. open repair, with and without inert vs. synthetic biomaterials, component separation, role of abdominoplasty, and associated indications, contraindications and complications of each. The rapidly expanding industry of the development of synthetic biomaterials with potential for revascularization will be discussed in detail with each currently available biomaterial weighed against its pros and cons and potential role in abdominal wall reconstruction. Soft tissue infections on the abdominal wall as a risk for abdominal wall defect and as a potential complication of abdominal wall reconstruction will be reviewed in detail including both surgical and medical management. Lastly, all aspects of complex abdominal wall defects, including congenital neonatal defects, traumatic abdominal wall defects, and the management of entercutaneous fistulas with wound management will be discussed in detail. This comprehensive two and a half day course will cover all aspects of abdominal wall reconstruction for general, plastic, trauma, and pediatric surgeons with an added interest for wound care specialists and enteral stoma nurses.
Following this activity, participants should be able to:
• Understand the general principles of abdominal wall reconstruction • Recognize and understand the indications, techniques and error prevention in abdominal wall hernia repair • Recognize the advantages and disadvantages of biomaterials vs. inert synthetic materials for abdominal wall reconstruction • Recognize the development of soft tissue infections of the abdominal wall as the cause of abdominal wall defects and as a complication of abdominal wall reconstruction • Understand the principles of closure of complex abdominal wall defects.