Complex abdominal wall reconstruction: The plastic surgeon’s perspective

Surgical planning in complex abdominal wall reconstruction requires the combined efforts of plastic surgeons and general surgeons. To achieve the goals of reestablishing the integrity of the musculofascial unit and providing cutaneous coverage of the abdominal wall defect, surgeons must take into consideration local wound conditions, optimize the utility of remaining tissues, reinforce the abdominal wall with mesh, and provide durable skin replacement. To minimize hernia recurrences and maximize preservation of function, this type of complex abdominal wall reconstruction should be attempted only by teams of highly experienced surgeons