The use of a human dura mater allograft for the repair of a contaminated abdominal wall defect: report of a case.
A case report of an infected full-thickness abdominal wall defect treated successfully with a human dura mater allograft is presented. A review of the literature and a discussion of prosthetic abdominal wall repair is also included. A 46-year-old woman presented with multiple small bowel perforations and a large abdominal wall defect due to a motor vehicle collision. A gamma-irradiated human dura mater prosthesis was used to repair the large abdominal wall defect which had been infected by a jejunal fistula. After more than 4 years of follow-up, the patient is free of complications, including wound infection, herniation, and ileus. The human dura mater allograft is thus considered to be a useful prosthesis for repairing potentially infected wounds.
Takahashi
M
M
Departement of Surgery, Nagaoka Red Cross Hospital, Japan.
Ono
K
K
Wakakuwa
R
R
Sato
O
O
Tsuchiya
Y
Y
Kamiya
G
G
Nitta
K
K
Tajima
K
K
Wada
K
K
D000009:Abdominal Muscles / Q000293:injuries* / Q000601:surgery; D004388:Dura Mater / Q000637:transplantation*; D005260:Female; D006801:Humans; D007081:Ileostomy; D007082:Ileum / Q000293:injuries / Q000601:surgery; D007412:Intestinal Fistula / Q000601:surgery*; D007416:Intestinal Perforation / Q000601:surgery; D007579:Jejunal Diseases / Q000601:surgery*; D007582:Jejunostomy; D007583:Jejunum / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D012086:Reoperation; D013530:Surgical Wound Infection / Q000601:surgery*; D013536:Suture Techniques; D014184:Transplantation, Homologous; D014945:Wound Healing / Q000502:physiology