Delayed repair in a case of forearm fascial muscle herniation using non-cross-linked acellular porcine dermal matrix.
The options for treatment of symptomatic muscle herniation in the limbs traditionally include fasciotomy, direct repair, tendon weave graft (palmaris longus), fascial graft (tensor fascia lata), and synthetic mesh (prolene). A recent case report has described the use of acellular cadaveric dermal matrix to reconstruct fascial defects in 2 cases. We describe the use of Strattice, a non-cross-linked acellular porcine dermal matrix, as a fascial underlay graft in a case of symptomatic upper limb muscle herniation. We propose that Strattice has the advantages over cadaveric dermal matrices in terms of avoiding the use of human donor tissue. It has suitable tensile properties to be used for reconstructing fascial defects.
Department of Plastic Surgery, Royal Free Hampstead NHS Trust, London, UK. ceahartmann@gmail.com
Christoph E A
CE
Hartmann
Olivier A
OA
Branford
David
D
Floyd
D062088:Acellular Dermis / Q000706:statistics & numerical data*; D000818:Animals; D005205:Fascia / Q000293:injuries; D000071938:Fasciotomy; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000175:diagnosis / Q000601:surgery; D006085:Graft Survival; D006547:Hernia / Q000175:diagnosis*; D006801:Humans; D018482:Muscle, Skeletal / Q000293:injuries / Q000601:surgery*; D009135:Muscular Diseases / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013552:Swine; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology