title: Bioprosthetic mesh use for the problematic thoracoabdominal wall: outcomes in relation to contamination and infection.
abstract: BACKGROUND
  Limited controlled data exist regarding the role of bioprosthetic meshes for hernia repair. Often the only option available in contaminated cases, their high cost calls for an evaluation of their utility and indications for use.
  
  
  METHODS
  A retrospective review of cases in which human acellular dermal matrix (HADM) was used to reconstruct a thoracoabdominal wall defect at the Foothills Medical Centre of Calgary was conducted. Attention was placed to identify the need for surgical reintervention postoperatively.
  
  
  RESULTS
  Over 2 years, 13 patients required the use of HADM for reconstruction of their thoracoabdominal wall; 69.2% of the cases were contaminated or infected. Three patients (23.1%) presented postoperative infectious complications; only 1 required reoperation. No patients required removal of their prosthesis. Two patients presented recurrences (median follow-up = 126 days).
  
  
  CONCLUSIONS
  The use of HADM for complex thoracoabdominal wall defects in contaminated or infected settings is a reliable option available for surgeons.
authors.affiliation: Department of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada.
authors.forename: Jean-Francois
authors.initials: JF
authors.lastname: Ouellet
authors.affiliation: Department of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada; Regional Trauma Services, Foothills Medical Centre, Calgary, Alberta, Canada.
authors.forename: Chad G
authors.initials: CG
authors.lastname: Ball
authors.affiliation: Department of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada; Regional Trauma Services, Foothills Medical Centre, Calgary, Alberta, Canada; Critical Care Medicine, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada.
authors.forename: John B
authors.initials: JB
authors.lastname: Kortbeek
authors.affiliation: Department of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada.
authors.forename: Lloyd A
authors.initials: LA
authors.lastname: Mack
authors.affiliation: Department of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada; Regional Trauma Services, Foothills Medical Centre, Calgary, Alberta, Canada; Critical Care Medicine, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada. Electronic address: andrew.kirkpatrick@albertahealthservices.ca.
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Kirkpatrick
mesh_terms: D034861:Abdominal Wall / Q000382:microbiology / Q000601:surgery*; D001705:Bioprosthesis; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D007239:Infections / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013526:Surgical Mesh; D035441:Thoracic Wall / Q000382:microbiology / Q000601:surgery*