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Subspecialist abdominal wall reconstruction services in Canada
Simon T Adams1, Michael Harington2
1From the Department of Plastic Surgery, St. Helen's & Knowsley Teaching Hospitals NHS Trust, Prescot, Merseyside, England (Adams); the Department of General Surgery, Wirral University Teaching Hospitals NHS Foundation Trust, Upton, Merseyside, England (Adams); the Department of General Surgery, St. Helen's & Knowsley Teaching Hospitals NHS Trust, Prescot, Merseyside, England (Adams); the Department of General Surgery, University of Saskatchewan, Saskatoon, Sask. (Harington) rpbgt@hotmail.com.
Demand for complex ventral hernia repairs is rising, prompting calls for specialized abdominal wall surgery. This article explores arguments for centralizing these complex abdominal wall reconstruction services in Canada, where it has not yet been adopted.
Area of Science:
- Surgical subspecialties
- Abdominal wall reconstruction
- Hernia repair outcomes
Background:
- Increasing demand and complexity in ventral hernia repairs.
- Emerging trend of specialized, multidisciplinary teams for abdominal wall reconstruction in the US and Europe.
- Lack of centralized complex abdominal wall services in Canadian cities.
Purpose of the Study:
- To outline arguments for centralizing complex abdominal wall services in Canada.
- To address the growing need for specialized care in abdominal wall reconstruction.
- To inform the development of dedicated Canadian surgical services.
Main Methods:
- Review of current trends in abdominal wall surgery.
- Analysis of the rationale for subspecialization and centralization.
- Discussion of potential benefits for patient care and surgical training.
Main Results:
- Significant increase in the complexity and demand for ventral hernia repairs.
- Establishment of specialized abdominal wall reconstruction teams in international centers.
- Identification of a gap in centralized services within Canada.
Conclusions:
- Centralization of complex abdominal wall services is a logical progression.
- Specialized teams can improve outcomes for complex hernia repairs.
- Canada should consider adopting centralized models for abdominal wall reconstruction.
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