Use of a porcine dermal collagen implant for contaminated abdominal wall reconstruction in a 105-year-old woman: a case report and review of the literature.
BACKGROUND
Repair of contaminated abdominal wall defect in a geriatric patient is a challenge for the surgeon. We present the case of the oldest patient (105-years old) to successfully undergo a single-stage repair of a contaminated abdominal wall defect with a Permacol™ implant.


METHODS
A 105-year-old Caucasian woman presented to our emergency room with a clinical and radiological diagnosis of small bowel obstruction due to prior operative adhesions. She underwent laparotomy with small bowel resection and primary closure of her abdomen. There was total eventration of her bowel through the suture line 9 days after surgery. She underwent a second laparotomy that revealed no signs of peritonitis or turbid fluid. Her abdomen was closed with a 15 × 10 cm Permacol™ implant sutured sublay with prolene sutures. Her postoperative period was unremarkable. After a follow-up period of 3 years and 2 months, there was no sign of recurrent hernia or wound contamination.


CONCLUSIONS
We suggest that Permacol™ mesh can be considered an efficient alternative to primary closure or synthetic mesh in geriatric patients with contaminated abdominal wall defects.
Department of General and Vascular Surgery, Barzilai Medical Center, Hahistadrout St 2, Ashkelon, 78278, Israel. iditm@barzi.health.gov.il.
Idit
I
Melnik
Department of General and Vascular Surgery, Barzilai Medical Center, Hahistadrout St 2, Ashkelon, 78278, Israel. dimagoldstein@yahoo.com.
Dimitry
D
Goldstein
Department of General and Vascular Surgery, Barzilai Medical Center, Hahistadrout St 2, Ashkelon, 78278, Israel. yoffe@barzi.health.gov.il.
Boris
B
Yoffe
D034861:Abdominal Wall / Q000601:surgery*; D000369:Aged, 80 and over; D000818:Animals; D001672:Biocompatible Materials; D003094:Collagen; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D011183:Postoperative Complications / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000601:surgery*; D013552:Swine
D001672:Biocompatible Materials; C422414:Permacol; D003094:Collagen