Abdominal Wall Reconstruction

Abdominal wall reconstruction is a relatively complex surgical operation that addresses open wounds or abdominal weaknesses. The general goals of abdominal wall reconstruction include:

• Protection of vital organs
• Proper muscular function
• Normal aesthetic appearance

In reconstructive surgery, these goals are achieved by moving tissues of the abdomen to redistribute abdominal muscles. Surgery can often be performed laparoscopically, which means a slightly longer surgery and shorter recovery time.

Indications for Abdominal Wall Reconstruction

General indications for this surgery include defects caused by trauma, removal of tumors, previous abdominal surgeries, and infection. If Dr. Morse recommends abdominal wall reconstruction, he will explain the procedure in depth during your consultation and answer any questions you have. Surgery risks, expected recovery time, and other important details will be discussed, so you have an adequate understanding of the procedure before you choose to proceed.

Abdominal Wall Reconstruction with Dr. Morse

Surgery can require 2 to 7 hours and is performed under general anesthesia. Incisions are made on the abdomen and the abdominal muscles are then mobilized and repositioned to shape the abdominal wall. When layers of tissue are compacted, as in a hernia, the doctor uses special techniques to shift them and spread them out, allowing a tension free closure of the hernia. Next, a synthetic or biological mesh is inserted in the abdominal cavity. Over this mesh, the incisions are closed with non-absorbable sutures.

What to Expect After Abdominal Wall Reconstruction

In most cases, an inpatient stay of 3 - 7 days is required after abdominal wall reconstruction. The post-operative experience will vary for each patient. Pain during recovery can be moderate to severe. To prevent further strain on the surgery site, a special abdominal binder may be needed during your recovery.