Abdominal Wall Transplantation

Atia, Andrew; Hollins, Andrew; Hernández, J; Erdmann, Detlev

doi:10.1007/978-3-031-21520-9_27

Cited by 1 publication

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A description of the patient's pretransplant course has been detailed in our 1-year follow-up. 5 In brief, the patient is a 37-year-old male Army veteran with a complex abdominal surgical history related to perforated appendicitis in early childhood. He ultimately developed short bowel syndrome and recurrent small bowel enterocutaneous fistulae.…”

Section: Case Reportmentioning

confidence: 99%

“…AW-VCA is performed in conjunction with intestinal transplantation (ITx) where abdominal closure is complicated by loss of abdominal domain and history of fistula, ostomy, or abdominal fibrosis. 1 2 3 4 Compared with alternative closure methods, AW-VCA avoids additional donor-site morbidity and the use of prosthetic materials in an immunocompromised patient. 4…”

mentioning

confidence: 99%

“…1 A 1-year follow-up was published in 2020. 5 In this report, we detail the patient's course over the following 3 years and the events ultimately leading to the loss of the graft. We share the insights gained from this experience, highlighting several critical aspects of AW-VCA not previously discussed in literature.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Synchronous Abdominal Wall and Small Bowel Transplantation: Critical Insights at 4-Year Follow-up

Oleck,

Erdmann,

Ravindra

et al. 2024

J Reconstr Microsurg Open

View full text Add to dashboard Cite

This four-year follow-up of synchronous abdominal wall allotransplantation (AW-VCA) and small bowel transplantation reveals novel insights and innovations in abdominal wall VCA. The case, involving a 37-year-old male Army veteran, showcases the benefits of AW-VCA in addressing loss of abdominal domain in intestinal transplantation (ITx). The events leading to ultimate rejection of both the AW-VCA and small bowel graft at four years highlights the complex interplay between graft survival, patient compliance, and immunosuppressive management. Notably, a significant discordance between AW-VCA and ITx rejection patterns was identified, questioning the reliability of skin components in AW-VCA as early indicators of ITx rejection. Furthermore, the behavior of the vascularized abdominal fascia, observed post-excision of the small bowel graft, offers new understanding of the immunologic response to fascia-only grafts. This follow-up emphasizes the complexities of graft survival, patient compliance, and immunosuppressive management, underscoring the need for ongoing research and innovation in the field.

show abstract

Section: Case Reportmentioning

confidence: 99%