Abdominal wall reconstruction can be rewarding surgery for both the physician and the patient. Previous or multiple abdominal surgeries as well as radiation can effect wound healing on the abdominal wall following repair. Larger hernias can allow a significant portion of the small intestines and possibly the large intestine to herniate through the abdominal wall and into the underlying skin.…
Larger hernias of the abdominal wall require that the muscles of the abdominal wall be put back into their normal anatomic position. The muscles often affected by previous complex abdominal operations are the rectus abdominis, the external oblique, the internal oblique, and the transversus abdominis. These muscles can be affected by previous incisions such as subcostal incisions for hepatic, pancreatic,…
Hernias can occur commonly after major abdominal surgery. Following abdominal surgery such as liver resections, pancreatic resections, and resection of intestines patients may be protein malnourished and have difficulty healing wounds. Patients with large hernias often dislike the abdominal bulge and experience a feelin of fullness in their lower abdomen. Restoring the abdominal wall musculature back to its normal position…
Lower blepharoplasty procedures are common among young people. As we age, the orbicularis occuli muscle may become weak or deposits of fat accumulate in the compartment around the eye. As this happens the appearance of bags or fullness of the lower eyelids occur. Typically these patients benefit from removal of fat from the lower eyelid and/or tightening of the lower…
