Use of biological meshes for abdominal wall reconstruction in highly contaminated fields.
Abdominal wall defects and incisional hernias represent a challenging problem. In particular, when a synthetic mesh is applied to contaminated wounds, its removal is required in 50%-90% of cases. Biosynthetic meshes are the newest tool available to surgeons and they could have a role in ventral hernia repair in a potentially contaminated field. We describe the use of a sheet of bovine pericardium graft in the reconstruction of abdominal wall defect in two patients. Bovine pericardium graft was placed in the retrorectus space and secured to the anterior abdominal wall using polypropylene sutures in a tension-free manner. We experienced no evidence of recurrence at 4 and 5 years follow-up.
Cavallaro
Andrea
A
General Surgery and Senology, Department of Surgery, Policlinico-Vittorio Emanuele Hospital, University of Catania Medical School, Via S. Sofia 78, 95123 Catania, Italy. andreacavallaro@tiscali.it
Lo Menzo
Emanuele
E
Di Vita
Maria
M
Zanghì
Antonio
A
Cavallaro
Vincenzo
V
Veroux
Pier Francesco
PF
Cappellani
Alessandro
A
D034861:Abdominal Wall / Q000473:pathology* / Q000601:surgery*; D000368:Aged; D000818:Animals; D001672:Biocompatible Materials; D002417:Cattle; D013505:Digestive System Surgical Procedures; D005260:Female; D006547:Hernia / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000473:pathology* / Q000637:transplantation; D011126:Polypropylenes / Q000737:chemistry; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques; D013537:Sutures
D001672:Biocompatible Materials; D011126:Polypropylenes
Am J Surg. 2007 Aug;194(2):192-8
17618803
Hernia. 2006 Oct;10(5):419-25
16924395
Ann Plast Surg. 2004 Feb;52(2):188-94
14745271
Curr Surg. 2006 Jul-Aug;63(4):255-8
16843776
Am J Surg. 2006 Dec;192(6):705-9
17161079
Am Surg. 2000 Jul;66(7):679-82
10917481
Ann Surg. 2003 Mar;237(3):437-41
12616130
Br J Surg. 2000 Mar;87(3):348-52
10718806
Am J Surg. 2008 Nov;196(5):715-9
18954603
World J Surg. 1989 Sep-Oct;13(5):545-54
2683400
Ann Surg. 2004 Oct;240(4):578-83; discussion 583-5
15383785
Ann Surg. 2006 Oct;244(4):481-90
16998356
J Am Coll Surg. 2007 Nov;205(5):654-60
17964441
Hernia. 2002 Sep;6(3):120-3
12209300
Surg Clin North Am. 2003 Oct;83(5):1223-34
14533912
Ann Surg. 2000 Oct;232(4):586-96
10998657
Hernia. 2007 Jun;11(3):279-85
17279319