Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series

Parra, Michael W.; Rodas, Edgar B.; Niravel, Aneesa

doi:10.1007/s10029-010-0687-7

Cited by 18 publications

(7 citation statements)

References 9 publications

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“…5,[8][9][10]23,29,30 On the basis of the reported success of these groups and our own experience with biologic materials in contaminated fields, it does seem to be safe in clean-contaminated and contaminated fields. As we noted an overall wound complication rate of 48%, no patients required complete mesh excision, developed chronic draining sinuses, or mesh infections.…”

Section: Discussionmentioning

confidence: 93%

A 5-Year Clinical Experience With Single-Staged Repairs of Infected and Contaminated Abdominal Wall Defects Utilizing Biologic Mesh

et al. 2013

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Section: Discussionmentioning

confidence: 93%

A 5-Year Clinical Experience With Single-Staged Repairs of Infected and Contaminated Abdominal Wall Defects Utilizing Biologic Mesh

et al. 2013

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“…The immediate mesh repair is deferred only in the presence of abundant peritoneal contamination [87,[91][92][93][94]. The biologic meshes may provide a new prospect in a contaminated surgical field [95], also in laparoscopic emergency hernia repair, with good results in terms of recurrence and wound infection [96,97].…”

Section: Acute Presentation: Emergencymentioning

confidence: 99%

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

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The availability of recent level 1 evidence (a meta-analysis of 10 RCTs) allowed to recommend that not only laparoscopic repair is an acceptable alternative to the open repair, but also it is advantageous in terms of shorter hospital stay and wound infection rate. This conclusion appears to be extremely relevant in a clinical setting. Indications about specific conditions could also be issued: laparoscopy is recommended for the treatment of recurrent ventral hernias and obese patients, while it is a potential option for compensated cirrhotic and childbearing-age female patients. Many relevant and controversial topics were thoroughly examined by this consensus conference for the first time. Among them are the issue of safety of the intraperitoneal mesh placement, traditionally considered a major drawback of the laparoscopic technique, the role for the biologic meshes, and various aspects of the laparoscopic approach for particular locations of the defect such as the abdominal border or parastomal hernias.

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“…They identified 4 recurrences (7.2 %) at a mean follow-up of 30.6 months, but noted that all recurrences were within 3 weeks of the repair and all were in patients that were bridged. There have been three reports on the use of Strattice for ventral hernia repair and one case series of three patients [22–25]. Rosen et al [22] reported on a small group of 12 patients with combined ventral and parastomal hernias repaired with a retrorectus technique using Strattice mesh.…”

Section: Discussionmentioning

confidence: 99%

Onlay ventral hernia repairs using porcine non-cross-linked dermal biologic mesh

Alicuben

DeMeester

2013

Hernia

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IntroductionVentral hernias are common and repair with mesh has been shown to reduce recurrence. However, synthetic mesh is associated with a risk of infection. Biologic mesh is an alternative that may be less susceptible to infection. Typically, the sublay position is preferred for mesh placement but this technique takes longer and has not been shown to have a lower recurrence rate than an onlay mesh. The aim of this study was to evaluate the outcome of complex ventral hernia repair using a porcine non-cross-linked biologic mesh onlay.MethodsA retrospective chart review was performed of all patients that had a ventral hernia repair with biologic mesh from January 2009 to March 2012. The operative procedure in all patients was an open repair with primary fascial closure (if possible) with or without external oblique component separation and porcine biologic mesh onlay.ResultsThere were 22 patients that had a ventral hernia repair, 19 primary and 3 recurrent. The majority were men, had hernia grade 3 or 4, and developed the hernia after an esophagectomy or gastrectomy for cancer. All but one had primary closure with a porcine biologic mesh onlay. One patient was bridged for loss of domain. A bilateral external oblique component separation was added in 16 patients (73 %). The median hospital stay was 7 days. There were two superficial wound infections, one with exposed mesh, but no patient required mesh removal. A seroma requiring intervention developed in 6 patients (27 %) and resolved with pig-tail drainage. At a median follow-up of 7 months, there has been no hernia recurrence apart from the patient that was bridged.ConclusionsPorcine non-cross-linked biologic mesh overlay has excellent short-term results in patients at increased risk for mesh infection. No patient required mesh removal, and there have been no recurrent hernias in patients with primary fascial closure. Biologic bridging is not effective for long-term abdominal wall reconstruction.

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Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series

Abstract: Strattice™ Reconstructive Tissue Matrix appears to be a promising new biological matrix for laparoscopic ventral hernia repair, especially in potentially contaminated fields. Further studies and long-term follow-up are still required.

Cited by 18 publications

References 9 publications

A 5-Year Clinical Experience With Single-Staged Repairs of Infected and Contaminated Abdominal Wall Defects Utilizing Biologic Mesh

A 5-Year Clinical Experience With Single-Staged Repairs of Infected and Contaminated Abdominal Wall Defects Utilizing Biologic Mesh

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

Onlay ventral hernia repairs using porcine non-cross-linked dermal biologic mesh

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