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Related Experiment Video

Updated: May 8, 2026

Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
09:30

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Published on: July 18, 2025

Complex abdominal wall reconstruction: an outcomes review.

Cathy R Henry1, Eric Bradburn, Kurtis E Moyer

  • 1Division of Plastic Surgery, College of Medicine, The Penn State University, Hershey, PA, USA.

Annals of Plastic Surgery
|August 16, 2013
PubMed
Summary

Complex abdominal wall reconstruction (AWR) outcomes were analyzed. Separation of components (SOC) with a porcine biologic mesh inlay demonstrated the lowest hernia recurrence rates, improving AWR success.

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Area of Science:

  • General Surgery
  • Abdominal Wall Reconstruction
  • Hernia Repair

Background:

  • Complex abdominal wall reconstruction (AWR) presents significant surgical challenges.
  • Numerous repair techniques exist, including primary fascial approximation, separation of components (SOC), and various mesh applications.
  • A lack of standardized algorithms necessitates outcome analysis for AWR procedures.

Purpose of the Study:

  • To analyze outcomes of complex abdominal wall reconstructions.
  • To compare recurrence rates among different surgical techniques for hernia repair.

Main Methods:

  • Retrospective review of 66 complex AWRs performed by two surgeons between July 2008 and October 2011.
  • Evaluation of outcomes for SOC with acellular dermis inlay (retrorectus), underlay/overlay mesh, and interposition biologic mesh.
  • Analysis of hernia recurrence rates based on repair methodology.

Main Results:

  • Overall hernia recurrence rate was 16% in the studied cohort (average BMI 35.5 kg/m, 53.7 years old).
  • SOC with retrorectus mesh showed the lowest recurrence rate (9%).
  • Recurrence rates were 12% for SOC with biologic mesh underlay/onlay, 22% without mesh, and 40% for biologic mesh interposition.

Conclusions:

  • Primary fascial repair decreases hernia recurrence rates in AWR.
  • Biologic mesh reinforcement further reduces recurrence, with SOC and porcine biologic mesh inlay yielding the lowest rates.
  • Continued outcomes review is crucial for refining AWR algorithms.