How I do itRepair of abdominal wall defects with bovine pericardium
Section snippets
Materials and Methods
Between 2005 and 2008, a retrospective review of a single general surgeon's practice was conducted to identify patients reconstructed with acellular bovine pericardium. A total of 30 primary or recurrent ventral hernias were treated in 26 patients with acellular bovine pericardium. All patients had either contaminated wounds or failure of a prosthetic mesh material and were thus selected to undergo repair with acellular bovine pericardium. Active abdominal infections with or without infected
Results
Twenty-six patients with a total of 30 hernias were treated. There were 18 women and 8 men ranging in age from 22 to 84 years old (mean age 54 years). Hernias ranged in size from 20 cm2 to 600 cm2 (mean 111 cm2). Seven patients had undergone previous hernia repair procedures with prosthetic mesh. Sixteen patients (61%) had ongoing infection or gross contamination at the time of repair, and 2 patients had a prior history of methicillin-resistant Staphylococcal aureus infections. All cases
Comments
Ventral hernias complicate nearly 11% of abdominal surgery procedures.26, 27 Associated morbidity from these hernias includes both incarceration and strangulation. The prevention of hernias is ideal, but their occurrence is often unavoidable. Multiple techniques are extent in the literature for hernia repair; however, even with tension-free repair, recurrence rates are quoted as high as 54%.1, 2, 3, 4 Hernia recurrences are often complicated by infection or extrusion of mesh and occur in
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Cited by (58)
Abdominal wall hernia repair: from prosthetic meshes to smart materials
2023, Materials Today BioMapping of bovine pericardium to enable a standardized acquirement of material for medical implants
2021, Journal of the Mechanical Behavior of Biomedical MaterialsCitation Excerpt :As a result, we highly recommend using IA “E”, to benefit the most from its homogenic and suitable mechanical properties. Apart from this, there might be special situations like the repair of an abdominal wall defect, which require a patch of a larger size (Limpert et al., 2009). In this case a combination of areas “D” and “E” would be the best choice.
Hernia Mesh and Hernia Repair: A Review
2020, Engineered RegenerationScaffolds for abdominal wall reconstruction
2019, Handbook of Tissue Engineering Scaffolds: Volume TwoNovel approaches toward the generation of bioscaffolds as a potential therapy in cardiovascular tissue engineering
2017, International Journal of CardiologyAllografts and xenografts in soft tissue repair: Current use and future trends
2016, Extracellular Matrix-derived Implants in Clinical Medicine
Dr. Limpert received an honorarium as a speaker for Synovis Life Technologies.