title: The use of Permacol™ mesh in contaminated complex abdominal wall defects.
abstract: The repair of complex abdominal wall defects in contaminated fields often presents a dilemma for general surgeons. Synthetic mesh, although strong, may lead to chronic infection or even visceral erosion. Leaving the abdomen open presents challenges for ward management and delays definitive care, as well as allowing the musculature to retract over time. Numerous biological mesh alternatives have arisen over the previous decade, which may make primary closure in this setting a practical alternative, although durability may prove the downside. Here we present our local experience with PermacolTM mesh (Porcine Acellular Dermal Matrix - PADM; Covidien, Mansfield, MA) in four challenging cases and discuss the role this relatively new mesh may have for these and other applications.
authors.affiliation: Medical Officer, Department of General Surgery Boxhill Hospital, Eastern Health Melbourne, Victoria, Australia.
authors.forename: Bee Meng
authors.initials: BM
authors.lastname: Lee
authors.affiliation: Consultant Surgeon, Department of General Surgery Boxhill Hospital, Eastern Health Melbourne, Victoria, Australia.
authors.forename: Patrick
authors.initials: P
authors.lastname: Moore
authors.affiliation: Consultant Surgeon, Head of Department of General Surgery Boxhill Hospital, Eastern Health Melbourne, Victoria, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Grossberg
authors.affiliation: Consultant Surgeon, Department of General Surgery Boxhill Hospital, Eastern Health Melbourne, Victoria, Australia.
authors.forename: Anthony
authors.initials: A
authors.lastname: Clough
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D062088:Acellular Dermis; D000328:Adult; D000368:Aged; D000818:Animals; D005260:Female; D059685:Herniorrhaphy / Q000295:instrumentation*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D013552:Swine; D016896:Treatment Outcome