Abdominal Wall Closure in Intestinal and Multivisceral Transplantation: A State-Of-The-Art Review of Vascularized Abdominal Wall and Nonvascularized Rectus Fascia Transplantation.
Gastroenterol Clin North Am
; 53(2): 265-279, 2024 06.
Article
in En
| MEDLINE
| ID: mdl-38719377
ABSTRACT
Failure to close the abdomen after intestinal or multivisceral transplantation (Tx) remains a frequently occurring problem. Two attractive reconstruction methods, especially in large abdominal wall defects, are full-thickness abdominal wall vascularized composite allograft (AW-VCA) and nonvascularized rectus fascia (NVRF) Tx. This review compares surgical technique, immunology, integration, clinical experience, and indications of both techniques. In AW-VCA Tx, vascular anastomosis is required and the graft undergoes hypotrophy post-Tx. Furthermore, it has immunologic benefits and good clinical outcome. NVRF Tx is an easy technique without the need for vascular anastomosis. Moreover, a rapid integration and neovascularization occurs with excellent clinical outcome.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Abdominal Wall
/
Intestines
Limits:
Humans
Language:
En
Journal:
Gastroenterol Clin North Am
/
Gastroenterol. clin. North America
/
Gastroenterology clinics of North America
Journal subject:
GASTROENTEROLOGIA
Year:
2024
Document type:
Article
Country of publication:
Estados Unidos