Abdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study

作者：Diaz Siso J R; Bueno E M; Pomahac B^*

来源：Hernia, 2013, 17(1): 37-44.

DOI：10.1007/s10029-012-0927-0

• Abdominal wall reconstruction
• Hernia repair
• Biologic scaffolds
• Non-cross-linked porcine dermis

In a previous study, we have shown that non-cross-linked porcine dermal scaffolds (NCPDS) are a safe and effective alternative to prosthetic mesh in the reconstruction of complicated abdominal wall defects. Here, we report the long-term outcomes of abdominal wall reconstruction using NCPDS in a larger patient population.
Patients who underwent abdominal wall reconstruction with NCPDS between May 2006 and December 2010 were retrospectively reviewed. Analysis of demographics, indications for NCPDS placement, surgical technique, complications, and follow-up data was performed.
NCPDS was used for abdominal wall repair in 40 patients. In all patients, NCPDS was positioned using an intraperitoneal technique. At a mean follow-up time of 40.1 months, most patients had successful outcomes. Complications included seroma (21 %), recurrence (7.9 %), and infection (5.2 %); these rates are comparable to our initial report. Two patients died from multi-organ failure unrelated to NCPDS placement.
This study shows that complex abdominal wall defects can be successfully reconstructed using NCPDS with a low rate of recurrence and complications.

• 出版日期2013-2