Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series.
BACKGROUND
The aim of this study was to describe the preliminary experience of definitive single stage laparoscopic reconstruction of the abdominal wall utilizing a tissue matrix in a potentially contaminated surgical field.


METHODS
Retrospective review of potentially contaminated ventral hernias repaired with a minimally invasive technique utilizing biological mesh. Reconstruction required the laparoscopic restoration of the midline with or without a minimally invasive component separation technique and reinforcement with a xenograft (Strattice™ Reconstructive Tissue Matrix, LifeCell, Branchburg, NJ).


RESULTS
We describe the first three cases of a xenograft placed laparoscopically in a potentially contaminated ventral hernia. There were no mesh-related complications or early recurrences during short-term 6 month follow-up.


CONCLUSIONS
Strattice™ Reconstructive Tissue Matrix appears to be a promising new biological matrix for laparoscopic ventral hernia repair, especially in potentially contaminated fields. Further studies and long-term follow-up are still required.
Parra
M W
MW
Department of Surgery, Broward General Medical Center/Level I Trauma Center, NOVA Southeastern University School of Medicine, 1600 S. Andrews Avenue, Fort Lauderdale, Fl 33316, USA. michaelwparra@yahoo.com
Rodas
E B
EB
Niravel
A A
AA
D000368:Aged; D000369:Aged, 80 and over; D001705:Bioprosthesis; D003094:Collagen / Q000627:therapeutic use*; D005260:Female; D006555:Hernia, Ventral / Q000382:microbiology / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D054457:Tissue Scaffolds
C568444:strattice; D003094:Collagen