An algorithm for abdominal wall reconstruction

Acquired abdominal wall defects result from trauma, previous surgery, infec tion, and tumor resection. The correction of complex defects is a challenge to both plastic and reconstructive and general surgeons. The anatomy of th e abdominal wall, as well as considerations in patient assessment and surgi cal planning, are discussed. A simple classification of abdominal wall defe cts based on size, depth, and location is provided. Publications regarding the various abdominal reconstruction techniques are reviewed and summarized to familiarize the reader with the treatment options for each particular d efect. Finally, an algorithm is presented to guide the surgeon in selecting the optimal reconstructive technique.