Abdominal Wall Reconstruction
Dr. Chris DeRosier having both trained in Plastic and General Surgery is an expert in complex abdominal wall reconstruction including massive hernia repair, including those hernias that have recurred after other repairs. Dr DeRosier and his reconstructive team have developed extensive protocols to optimize outcomes after these complicated operations. These protocols involve careful pre-operative evaluation coordinated with the individual patients managing physicians. The operation is carefully coordinated with the Anesthesia team using the latest technology in intraoperative monitoring. Dr DeRosier uses the same surgical team for all of his major abdominal wall reconstructions as their familiarity of these cases is critical for their success.
Some of the most serious repairs of the abdominal wall are called “complex abdominal wall reconstructions”. They occur after surgeries by other physicians (such as general surgeons, trauma surgeons, gynecologists, and urologists) and can require complex transfer of tissue flaps from parts of the abdomen or lower extremity for the final definitive reconstruction.
The abdominal wall comprises the stomach muscles, fascia (tissue surrounding the muscle) and skin, and they serve to hold in the intestines, stomach, and liver. Hernias occur when the abdominal wall muscles no longer contain the intestines, stomach, and liver. This can occur due to a natural abdominal muscle weakness, such as in the groins and the umbilicus. Ventral hernias occur after a surgeon has made an incision into the abdomen, and the initial repair of the abdominal muscles and fascia have not remained intact. Reasons for the development of hernias after surgery include postoperative infections, large patient size and obesity, smoking, lifting too soon after repair, and wound healing issues.
There are many types of hernias, with Dr. DeRosier being an expert in ventral or incisional hernias. There are several other types of hernias, including inguinal and diaphragm hernias that are typically treated by general surgeons.