title: The use of biological mesh to repair one large, contaminated abdominal wall defect due to neoplastic invasion. Report of a case.
abstract: We hereby report a case of use of biological mesh to repair one large, contaminated abdominal wall defect due to a sigmoid tumour presented as an abscess infiltrating the abdominal wall. Our patient was a 48-year-old woman. Her medical history was negative for any previous disease or surgical procedure. Because of the abscence of neoplastic secondarism an en-bloc resection of the interested sigmoid colon and of the infiltrated abdominal wall was performed, thus resulting a large wall defect in the left inguinal region. In order to close the wall defect a biological porcine collagen mesh was used. In our case we used a Permacol mesh made of porcine acellular dermal collagen. Reconstruction of complicated abdominal wall defects is a challenging surgical problem and primary repair is often difficult to achieve without excessive tension in the abdominal wall. The use of a syntethic mesh in this patient could have been inappropriate due to the possibility of creating adhesions with intra-abdominal viscera and fistula formation. We chose to use a biological mesh because of its safer properties in case of infected, inflamed or infiltrated surgical fields, as demonstrated in the literature.
authors.affiliation: Faculty of Medicine, University of Milan, Milan, Italy. davidegalli@pngmail.com
authors.forename: Davide
authors.initials: D
authors.lastname: Galli
authors.forename: Gloria
authors.initials: G
authors.lastname: Goi
authors.forename: Dario
authors.initials: D
authors.lastname: Pariani
authors.forename: Eliana
authors.initials: E
authors.lastname: Moroni
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Danelli
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D058107:Abdominal Wound Closure Techniques; D000038:Abscess / Q000209:etiology* / Q000601:surgery*; D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology; D001672:Biocompatible Materials; D003094:Collagen; D005260:Female; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D019651:Plastic Surgery Procedures / Q000379:methods*; D012811:Sigmoid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013526:Surgical Mesh
chemical_list: D001672:Biocompatible Materials; C422414:Permacol; D003094:Collagen