BACKGROUND: Outcomes using the porcine acellular dermal matrix (PADM) in abdominal wall reconstruction (AWR) have been reported when used for midline reinforcement; however, there have been no reports focused on outcomes when used as a bridging mesh. METHODS: A retrospective review was conducted of all patients who underwent AWR with a non-cross-linked PADM as a bridged repair without midline fascial approximation. RESULTS: Nine patients were identified with an average follow-up of 546 days. The average preoperative hernia defect diameter was 22.4 cm. After PADM placement, the average defect diameter was 9.8 cm. Complications occurred in 55.6% of patients, with PADM exposure occurring in all of these patients. No PADM was explanted, and all patients eventually healed. Abdominal wall eventration and/or recurrence occurred in 8 of 9 (88.9%) patients. CONCLUSIONS: When fascial approximation cannot be achieved, PADM bridging may be the best option to avoid complications associated with synthetic mesh. However, there is a high potential for abdominal wall eventration and/or recurrence.
BACKGROUND: Outcomes using the porcine acellular dermal matrix (PADM) in abdominal wall reconstruction (AWR) have been reported when used for midline reinforcement; however, there have been no reports focused on outcomes when used as a bridging mesh. METHODS: A retrospective review was conducted of all patients who underwent AWR with a non-cross-linked PADM as a bridged repair without midline fascial approximation. RESULTS: Nine patients were identified with an average follow-up of 546 days. The average preoperative hernia defect diameter was 22.4 cm. After PADM placement, the average defect diameter was 9.8 cm. Complications occurred in 55.6% of patients, with PADM exposure occurring in all of these patients. No PADM was explanted, and all patients eventually healed. Abdominal wall eventration and/or recurrence occurred in 8 of 9 (88.9%) patients. CONCLUSIONS: When fascial approximation cannot be achieved, PADM bridging may be the best option to avoid complications associated with synthetic mesh. However, there is a high potential for abdominal wall eventration and/or recurrence.
Authors: Arvind U Gowda; Sarah M Chang; Karan Chopra; Jamil A Matthews; Jennifer Sabino; Jeffrey A Stromberg; Hamid R Zahiri; Joel Pinczewski; Luther H Holton; Ronald P Silverman; Devinder P Singh Journal: Int Wound J Date: 2015-12-21 Impact factor: 3.315
Authors: P Giordano; R D Pullan; B Ystgaard; F Gossetti; M Bradburn; A J McKinley; N J Smart; I R Daniels Journal: Tech Coloproctol Date: 2015-06-17 Impact factor: 3.781
Authors: N Baldan; G Munegato; A Di Leo; E Lauro; E Morpurgo; S Pianigiani; D Briscolini; R Ferrara; V Fiscon; A Brolese; G De Manzoni; G Baldazzi; D Snidero; S Merigliano; F Ricci; E Laterza; R Merenda; R Gianesini Journal: Hernia Date: 2019-01-19 Impact factor: 4.739
Authors: J J Atema; E J Furnée; Y Maeda; J Warusavitarne; P J Tanis; W A Bemelman; C J Vaizey; M A Boermeester Journal: World J Surg Date: 2017-08 Impact factor: 3.352
Authors: Giovanni Vennarecci; Gianluca Mascianà; Edoardo De Werra; Giovanni Battista Levi Sandri; Daniele Ferraro; Mirco Burocchi; Giovanni Tortorelli; Nicola Guglielmo; Giuseppe Maria Ettorre Journal: World J Transplant Date: 2017-02-24