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. 2012 Jul 27;4(7):171-6.
doi: 10.4240/wjgs.v4.i7.171.

Use of bovine pericardium graft for abdominal wall reconstruction in contaminated fields

Luigi D'Ambra  1 , Stefano Berti, Cosimo Feleppa, Prospero Magistrelli, Pierfrancesco Bonfante, Emilio Falco
Affiliations

Use of bovine pericardium graft for abdominal wall reconstruction in contaminated fields

Luigi D'Ambra et al. World J Gastrointest Surg. .

Abstract

Aim: To employ, in such conditions, a biological graft such as bovine pericardium that offers resistance to infection.

Methods: In our surgical department, from January 2006 to June 2010, 48 patients underwent abdominal wall reconstruction using acellular bovine pericardium; of these 34 patients had a contaminated wound due to diffuse peritonitis (complicated diverticulitis, bowel perforation, intestinal infarction, strangled hernia, etc.) and 14 patients had hernia relapse on infected synthetic mesh.

Results: In our series, one patient died of multi-organ failure 3 d after surgery. After placement of the pericardium mesh four cases of hernia relapse occurred.

Conclusion: Recurrence rate is similar to that of prosthetic mesh repair and the application of acellular bovine pericardium (Tutomesh(®), Tutogen Medical Gmbh Germany) is moreover a safe and feasible option that can be employed to manage complicated abdominal wall defects where prosthetic mesh is unsuitable.

Keywords: Abdominal hernia; Abdominal wall; Bovine pericardium; Contaminated field; hernia relapse.

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Figures

Figure 1
Figure 1
Sublay technique. A: Under muscolar plane; B: Mesh fixation.
Figure 2
Figure 2
Subcutaneous over mesh drain tube.
Figure 3
Figure 3
Inlay technique.
Figure 4
Figure 4
Relapse with diastasis recti after inlay technique.
Figure 5
Figure 5
Synthetic mesh repair after 6 mo from pericardium graft placement.
Figure 6
Figure 6
Detaching of pericardium graft from the fascial edge on twelfth p.o day.
Figure 7
Figure 7
Vacuum-assisted therapy.
See this image and copyright information in PMC

References

    1. Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240:578–583; discussion 583-585. - PMC - PubMed
    1. Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, IJzermans JN, Boelhouwer RU, de Vries BC, Salu MK, Wereldsma JC, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343:392–398. - PubMed
    1. Leber GE, Garb JL, Alexander AI, Reed WP. Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg. 1998;133:378–382. - PubMed
    1. Jin J, Rosen MJ, Blatnik J, McGee MF, Williams CP, Marks J, Ponsky J. Use of acellular dermal matrix for complicated ventral hernia repair: does technique affect outcomes. J Am Coll Surg. 2007;205:654–660. - PubMed
    1. Morell VO, Wearden PA. Experience with bovine pericardium for the reconstruction of the aortic arch in patients undergoing a Norwood procedure. Ann Thorac Surg. 2007;84:1312–1315. - PubMed