ABSTRACT

Background Acquired abdominal wall defects can occur as the result o f postoperative wound

complications, trauma, or surgical resection. Several options exist to manage each of these scenarios. Congenital defects comprise a distinct subset o f abdominal wall defects; their treatment is the purview of pediatric surgeons and is not covered here. The objectives of abdominal wall reconstruction, in order of priority, are protection o f the abdominal contents, the restoration o f visceral support and the production of a natural body contour. Knowledge of abdominal wall anatomy as it relates to the defect is paramount in planning appropriate management. Reconstruction of the myofascial layer restores visceral support and structural stability. Reconstruction of the cutaneous layer provides wound closure and provides an aesthetic outcome.