Botulinum Toxin in Abdominal Wall Hernia Repair

Abstract

As surgeons are treating more complex hernias, adjuncts to aid in repair can be useful in certain situations. Botulinum toxin A (BTA) is one such adjunct that can help increase intraabdominal volume and increase ease of repair for large hernias, including those with loss of domain. The evidence for the use of BTA is increasing and thus far some benefit is seen, with minimal risk. In this chapter, we will be reviewing current evidence for the use of BTA for hernia repair, and describing our technique of administration.