The use of porcine acellular dermal matrix in a bridge technique for complex abdominal wall reconstruction: an outcome analysis - 18/01/13
Corresponding author. Tel.: +1-202-444-0481; fax: +1-877-376-2418.Abstract |
Background |
Outcomes using the porcine acellular dermal matrix (PADM) in abdominal wall reconstruction (AWR) have been reported when used for midline reinforcement; however, there have been no reports focused on outcomes when used as a bridging mesh.
Methods |
A retrospective review was conducted of all patients who underwent AWR with a non–cross-linked PADM as a bridged repair without midline fascial approximation.
Results |
Nine patients were identified with an average follow-up of 546 days. The average preoperative hernia defect diameter was 22.4 cm. After PADM placement, the average defect diameter was 9.8 cm. Complications occurred in 55.6% of patients, with PADM exposure occurring in all of these patients. No PADM was explanted, and all patients eventually healed. Abdominal wall eventration and/or recurrence occurred in 8 of 9 (88.9%) patients.
Conclusions |
When fascial approximation cannot be achieved, PADM bridging may be the best option to avoid complications associated with synthetic mesh. However, there is a high potential for abdominal wall eventration and/or recurrence.
Le texte complet de cet article est disponible en PDF.Keywords : Bridging, Porcine acellular dermal matrix, Hernia recurrence, Abdominal wall reconstruction, Hernia complications
Plan
| Drs. Bhanot and Nahabedian are members of the Speakers Bureau for Lifecell Corp, Branchburg, NJ. |
Vol 205 - N° 2
P. 209-212 - février 2013 Retour au numéro
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