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Review
. 2021 Oct 1:8:753889.
doi: 10.3389/fsurg.2021.753889. eCollection 2021.

The Use of Botulinum Toxin in Complex Hernia Surgery: Achieving a Sense of Closure

Thomas Whitehead-Clarke  1 , Alastair Windsor  2
Affiliations
Review

The Use of Botulinum Toxin in Complex Hernia Surgery: Achieving a Sense of Closure

Thomas Whitehead-Clarke et al. Front Surg. .

Abstract

Abdominal wall surgeons have developed a host of tools to help facilitate fascial closure. Botulinum toxin A is one of the most recently identified treatments and has grown in popularity over recent years; showing great promise in a number of case series and cohort studies. The toxin paralyses lateral abdominal wall muscles in order to increase laxity of the tissues-facilitating medialisation of the rectus muscles. Several research groups around the world are developing expertise with its use-uncovering its potential. We present a review of the relevant literature over the last two decades, summarising the key evidence behind its indications, dosing and effects.

Keywords: Botox; Botulinum; abdominal wall; complex; hernia.

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Conflict of interest statement

AW interest statement: Allergan - Research Grant TelaBio, Medtronic - Speaker Bureau. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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