Abstract No. 578 Percutaneous, image-guided intramuscular botulism toxin type A (BTA) injection to facilitate abdominal wall reconstruction (AWR) in patients with recurrent, large-defect hernias

Incisional ventral hernias occur in about 20% of patients after laparotomy. Despite advances in surgical technique, hernia recurrence occurs in up to 73% of patients with large, ventral hernias and “loss of domain” in which more viscera reside outside the abdominal cavity than inside. Hernia recurrence and complication rate can be significantly reduced if the midline is closed over mesh without having to bridge a fascial gap. Preoperative percutaneous BTA injection into the oblique muscles can facilitate AWR by allowing stretching of the abdominal wall to facilitate fascial reapproximation.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific e-Posters Source Type: research