The body wall

The body wall consists of sheets of muscle that maintain abdominal integrity, provide support and strength for movements such as jumping and twisting and, when tense, are rigid enough to protect the abdominal contents. Open surgery on intra-abdominal structures involves breaching this well designed system, and it is important to ensure a robust and long-lasting repair of any approach to the abdominal cavity. This chapter covers the body wall anatomy, surgical approaches, closure, and complications. Practical tips are highlighted throughout. Operative techniques: Midline laparotomy (coeliotomy); Flank laparotomy; Inguinal hernia repair; Prepubic tendon rupture repair.