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Case Reports
. 2010 Apr 21;16(15):1928-33.
doi: 10.3748/wjg.v16.i15.1928.

Use of biological meshes for abdominal wall reconstruction in highly contaminated fields

Andrea Cavallaro  1 , Emanuele Lo Menzo, Maria Di Vita, Antonio Zanghì, Vincenzo Cavallaro, Pier Francesco Veroux, Alessandro Cappellani
Affiliations
Case Reports

Use of biological meshes for abdominal wall reconstruction in highly contaminated fields

Andrea Cavallaro et al. World J Gastroenterol. .

Abstract

Abdominal wall defects and incisional hernias represent a challenging problem. In particular, when a synthetic mesh is applied to contaminated wounds, its removal is required in 50%-90% of cases. Biosynthetic meshes are the newest tool available to surgeons and they could have a role in ventral hernia repair in a potentially contaminated field. We describe the use of a sheet of bovine pericardium graft in the reconstruction of abdominal wall defect in two patients. Bovine pericardium graft was placed in the retrorectus space and secured to the anterior abdominal wall using polypropylene sutures in a tension-free manner. We experienced no evidence of recurrence at 4 and 5 years follow-up.

Keywords: Biological meshes; Bovine; Hernia; Infection; Pericardium.

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Figures

Figure 1
Figure 1
Case 1. A: Abdominal wall with subcutaneous fistula; B: Rib anomaly; C: Bone fracture with tissue rearrangement; D: Sheet of bovine pericardium mesh; anterior rectus sheath re-positioned with Vicryl.
Figure 2
Figure 2
Case 2. A-C: Preexisting contracted mesh; D: Sheet of bovine pericardium mesh in the retrorectus space.
See this image and copyright information in PMC

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