Abdominal wall repair using human acellular dermal matrix: a follow-up study

2009 ◽  
Vol 198 (5) ◽  
pp. 650-657 ◽  
Author(s):  
Edward I. Lee ◽  
Chuma J. Chike-Obi ◽  
Patricio Gonzalez ◽  
Ramon Garza ◽  
Mimi Leong ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Abdominal Wall Repair ◽  
Follow Up Study ◽  
Acellular Dermal ◽  
Human Acellular Dermal Matrix

A Long-term Follow-up Study of Acellular Dermal Matrix With Thin Autograft in Burns Patients

2011 ◽  
Vol 67 (4) ◽  
pp. 346-351 ◽  
Author(s):  
Yunchuan Pan ◽  
Zunhong Liang ◽  
Su Yuan ◽  
Jiaqin Xu ◽  
Jun Wang ◽  
...  
Keyword(s):  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Follow Up Study ◽  
Long Term Follow Up ◽  
Acellular Dermal

scholarly journals Reconstruction of Diaphragmatic Defects With Human Acellular Dermal Matrix

2018 ◽  
Vol 4 ◽  
pp. 2513826X1775111 ◽  
Author(s):  
Valerie Hurdle ◽  
Kristine Ly ◽  
Justin K. Yeung ◽  
Andrew J. Graham ◽  
Gary A. Gelfand ◽  
...  
Keyword(s):  
Literature Review ◽  
Acellular Dermal Matrix ◽  
Published Data ◽  
Dermal Matrix ◽  
Number Of Patients ◽  
Operative Complications ◽  
Acellular Dermal ◽  
Human Acellular Dermal Matrix ◽  
Post Operative Complications

Large diaphragmatic defects present a reconstructive challenge, often necessitating the use of synthetic materials. We report our experience reconstructing large diaphragmatic defects using human acellular dermal matrix (HADM). Patients unable to undergo primary repair of diaphragmatic defects from 2009 to 2013 were reconstructed using HADM. A chart review was performed to investigate immediate and late post-operative outcomes. Construct stability was assessed with repeat imaging. In addition, a literature review was performed to identify studies in which HADM had been used for diaphragm repair. Four patients required reconstruction of large hemi-diaphragmatic defects. All patients had chest tubes placed, which remained in situ from 4 to 10 days post-operatively. Two patients also had drains in dead space surrounding HADM; these were removed between 6 and 9 days post-procedure. Length of hospital stay ranged from 8 to 65 days. Post-operative complications were seen in 2 patients: surgical site cellulitis and failure of extubation due to persistent respiratory failure. There were no adverse events related to HADM, and all patients remained disease free without evidence of repair failure on radiographic follow-up, ranging from 14 to 62 months. The literature review identified 3 studies in which all diaphragms repaired with HADM remained intact without need for explantation despite common post-operative complications including fluid collections and surgical site infections. Diaphragm reconstruction with HADM is limited to a small number of patients and modest follow-up periods; the neodiaphragms appear durable in contaminated fields, without evidence of repair failure. Our results, and previously published data, indicate HADM is a reasonable option for diaphragm repair.

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