title: Porcine acellular dermal matrix for delayed abdominal wall closure after pediatric liver transplantation.
abstract: Children are one of the groups with the highest mortality rate on the waiting list for LT. Primary closure of the abdominal wall is often impossible in the pediatric population, due to a size mismatch between a large graft and a small recipient. We present a retrospective cohort study of six pediatric patients, who underwent delayed abdominal wall closure with a biological mesh after LT, and in whom early closure was impossible. A non-cross-linked porcine-derived acellular dermal matrix (Strattice(™) Reconstructive Tissue Matrix; LifeCell Corp, Bridgewater, NJ, USA) was used in all of the cases of the series. After a mean follow-up of 26 months (21-32 months), all patients were asymptomatic, with a functional abdominal wall after physical examination. Non-cross-linked porcine-derived acellular dermal matrix (Strattice(™) ) is a good alternative for delayed abdominal wall closure after pediatric LT. Randomized controlled trials are necessary to determine the best moment and the best technique for abdominal wall closure.
authors.affiliation: Department and Institution, General Surgery and Abdominal Organ Transplantation, Hospital 12 de Octubre, Madrid, Spain.
authors.forename: O
authors.initials: O
authors.lastname: Caso Maestro
authors.forename: M
authors.initials: M
authors.lastname: Abradelo de Usera
authors.forename: I
authors.initials: I
authors.lastname: Justo Alonso
authors.forename: J
authors.initials: J
authors.lastname: Calvo Pulido
authors.forename: A
authors.initials: A
authors.lastname: Manrique Municio
authors.forename: F
authors.initials: F
authors.lastname: Cambra Molero
authors.forename: A
authors.initials: A
authors.lastname: García Sesma
authors.forename: C
authors.initials: C
authors.lastname: Loinaz Segurola
authors.forename: E
authors.initials: E
authors.lastname: Moreno González
authors.forename: C
authors.initials: C
authors.lastname: Jiménez Romero
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D062088:Acellular Dermis; D000818:Animals; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D016031:Liver Transplantation; D008297:Male; D012189:Retrospective Studies; D013526:Surgical Mesh; D013552:Swine; D016896:Treatment Outcome
keywords: hernia; liver transplantation; partial liver grafts; pediatric transplantation