Botulinum Toxin Aided Hernia Repair

Abstract

Adjuncts to aid in hernia repair can be useful in certain situations, especially as more complex hernias are being repaired. Botulinum toxin A (BTA) is an adjunct that can help increase intraabdominal volume and allow greater ease of repair for large hernias, including those with loss of domain. The evidence for BTA use prior to operative hernia repair is growing and some benefit is seen, with minimal risk. In this chapter, we will highlight the pharmacology as well as review current applications and evidence for the use of BTA for hernia repair. We will also describe our technique of administration.