Page 153 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

biomechanical experiments (for instance, using the Abdoman®). Currently our group is developing a Finite Element Model, in attempt to model the forces after incisions in the abdominal wall. Furthermore, it would have been interesting to have a preoperative CT-scan of all patients and standard follow-up CT-scans during the postoperative period and to see the development of the changes of the midline and the ARM. Also, measurement errors were minimized in this study by using the I-Space® program but could possibly be reduced even further by implementing a prospective study protocol. As stated before, it was di cult to measure the ARM in the vicinity of the colostomy due to folding of the ARM. The decrease in left ARM thickness caudal to the colostomy was apparent and in accordance with our hypothesis.
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Abdominal wall changes and IH
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