Plastic Surgical Procedures

Major reconstructive procedures are occasionally necessary to repair abdominal wall defects resulting from peri-transplant wound complications. Since both diminished wound healing and posttransplant weight gain usually stabilize within the first posttransplant year, we favor reserving these interventions until that time. When a significant hernia is repaired, increased intra-abdominal pressure may occasionally compromise allograft function. Accordingly, intra-operative participation of a transplant surgeon is often helpful.

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