scholarly journals Repair of Postoperative Abdominal Hernia in a Child with Congenital Omphalocele Using Porcine Dermal Matrix

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
V. Lambropoulos ◽  
E. Mylona ◽  
V. Mouravas ◽  
C. Tsakalidis ◽  
I. Spyridakis ◽  
...  
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Surgical Techniques ◽  
Abdominal Hernia ◽  
Abdominal Wall Defects ◽  
Common Complication ◽  
Dermal Matrix ◽  
Real Challenge ◽  
Ventral Hernias

Introduction.Incisional hernias are a common complication appearing after abdominal wall defects reconstruction, with omphalocele and gastroschisis being the most common etiologies in children. Abdominal closure of these defects represents a real challenge for pediatric surgeons with many surgical techniques and various prosthetic materials being used for this purpose.Case Report.We present a case of repair of a postoperative ventral hernia occurring after congenital omphalocele reconstruction in a three-and-a-half-year-old child using an acellular, sterile, porcine dermal mesh.Conclusion.Non-cross-linked acellular porcine dermal matrix is an appropriate mesh used for the reconstruction of abdominal wall defects and their postoperative complications like large ventral hernias with success and preventing their recurrence.

scholarly journals Antibacterial Biopolymer Gel Coating on Meshes Used for Abdominal Hernia Repair Promotes Effective Wound Repair in the Presence of Infection

Polymers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 2371
Author(s):  
Selma Benito-Martínez ◽  
Bárbara Pérez-Köhler ◽  
Marta Rodríguez ◽  
Francisca García-Moreno ◽  
Verónica Gómez-Gil ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Protein Expression ◽  
Mrna Expression ◽  
Abdominal Wall ◽  
Tissue Repair ◽  
Abdominal Hernia ◽  
Infection Model ◽  
Abdominal Wall Defects ◽  
Abdominal Hernia Repair ◽  
Gene And Protein Expression

Prosthetic mesh infection is a devastating complication of abdominal hernia repair which impairs natural healing in the implant area, leading to increased rates of patient morbidity, mortality, and prolonged hospitalization. This preclinical study was designed to assess the effects on abdominal wall tissue repair of coating meshes with a chlorhexidine or rifampicin-carboxymethylcellulose biopolymer gel in a Staphylococcus aureus (S. aureus) infection model. Partial abdominal wall defects were created in New Zealand white rabbits (n = 20). Four study groups were established according to whether the meshes were coated or not with each of the antibacterial gels. Three groups were inoculated with S. aureus and finally repaired with lightweight polypropylene mesh. Fourteen days after surgery, implanted meshes were recovered for analysis of the gene and protein expression of collagens, macrophage phenotypes, and mRNA expression of vascular endothelial growth factor (VEGF) and matrix metalloproteinases (MMPs). Compared to uncoated meshes, those coated with either biopolymer gel showed higher collagen 1/3 messenger RNA and collagen I protein expression, relatively increased VEGF mRNA expression, a significantly reduced macrophage response, and lower relative amounts of MMPs mRNAs. Our findings suggest that following mesh implant these coatings may help improving abdominal wall tissue repair in the presence of infection.

scholarly journals Blunt abdominal trauma leading to acute abdominal wall hernia: a case report

2020 ◽  
Vol 5 (1) ◽  
pp. 86-90
Author(s):  
D Sharma ◽  
Santosh Shrestha ◽  
R Ghimire
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Wall Hernia ◽  
Abdominal Hernia ◽  
Traumatic Abdominal Wall Hernia ◽  
Traumatic Abdominal Hernia

Acute traumatic abdominal wall hernia is a rare but serious diagnosis resulting from blunt abdominal trauma. The challenge of managing acute traumatic abdominal hernia is approach and timing of repair. We describe a 32 years male patient’s acute traumatic abdominal wall hernia and its management.

scholarly journals Peculiarities of surgical tactics in postoperative ventral hernias in elderly patients

2011 ◽  
Vol 4 (1) ◽  
pp. 10-16
Author(s):  
Maksim Aleksandrovich Evseev ◽  
Roman Anatolievich Golovin ◽  
Dmitry Nikolaevich Sotnikov ◽  
Nataliya Mikhailovna Lazarieva
Keyword(s):  
Postoperative Complications ◽  
Elderly Patients ◽  
Abdominal Wall ◽  
Age Groups ◽  
Selection Method ◽  
Preoperative Preparation ◽  
Preparation Program ◽  
Algorithmic Approach ◽  
Surgical Tactics ◽  
Ventral Hernias

The questions of surgical tactics in large and giant postoperative hernia in patients of older age groups. An analysis of the causes of recurrent hernias and postoperative complications identified the need to use algorithmic approach to the selection method of plasty of abdominal wall, defined the criteria for the possibility of operational benefits in patients with severe concomitant diseases, as well as a preoperative preparation program.

scholarly journals REPAIR OF ABDOMINAL WALL DEFECTS WITH ACELLULAR BOVINE PERICARDIUM MATRIX - A MULTICENTER PROSPECTIVE STUDY

2021 ◽  
Author(s):  
Luiz F Frascino ◽  
Jonas D.C. Severi ◽  
Fernanda R.F. Lorenzzato ◽  
Hamilton L.X. Funes
Keyword(s):  
Abdominal Wall ◽  
Systemic Reaction ◽  
Bovine Pericardium ◽  
Abdominal Hernia ◽  
Abdominal Wall Defects ◽  
Recurrence Rates ◽  
New Era ◽  
Acellular Matrix ◽  
Multicenter Prospective Study ◽  
Conceptual Evolution

Background: The association of prosthetic meshes in the abdominal wall repair , reducing the recurrence rates in an impactful way, has become an almost mandatory routine for the success of these surgeries. After decades using non-biological synthetic implants, from the 90s onwards biological acellular membranes of animal or human origin were introduced , beginning a new era in abdominal wall defects correction . Methods: Thirty patients underwent repair for different abdominal wall deformities, with acellular matrices of bovine pericardium, in a total of 40 anatomically individualized implants. The median follow-up was 22 months, with patients evaluated clinically and radiologically. In three cases, biopsies of the implanted areas were performed, allowing histological analysis of the material. Results: There was no recurrence of hernias in any of the cases, both clinically and radiologically. There was also no record of hematomas, infections or any phenomenon of a local or systemic reaction nature. Radiologically, it was not possible to visualize the matrices at the implantation site in any of the analysed postoperative periods. Biopsies showed important tissue neoformation replacing the implanted membranes, with important deposition of collagen, normal-looking cellularized tissue, and absence of foreign body reactions. Conclusions: The analysed matrices showed similarity to other biological membranes described in the international literature. Representing an important update and conceptual evolution, biological matrices must be incorporated into the therapeutic arsenal in abdominal wall repairs. Key Words: Biological prosthetic mesh; Biological acellular matrix; Acellular bovine pericardium matrix; Abdominal hernia; Ventral hernia repair;

scholarly journals Abdominal wall repair with human acellular dermal autograft

2011 ◽  
Vol 2 (1) ◽  
pp. 6
Author(s):  
Roel E. Genders ◽  
Paul P.G.M. Kouwenberg ◽  
Rob P. Bleichrodt
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Operative Procedure ◽  
Abdominal Wall Defects ◽  
Dermal Matrix ◽  
Wall Defect ◽  
Mortality And Morbidity ◽  
Acellular Dermis ◽  
Number Of Patients ◽  
Acellular Dermal

Repair of abdominal wall defects in the presence of contamination or infection is a significant problem. The loss of tissue warrants enforcement of the abdominal wall, preferably by autologous material. However, autologous repair often requires extensive surgery. This paper presents a review of available literature of placement of an acellular human dermis to repair an abdominal fascia defect, in contaminated as well as in non-contaminated surgical fields. It is illustrated with a case report that describes the successful reconstruction of an infected abdominal wall defect with a human acellular dermis allograft. A systematic literature review was undertaken with searches performed in the Pubmed and Cochrane databases for the period up till March 2009, using the search terms <em>Alloderm</em> [Substance Name], <em>Hernia</em> [Mesh] and the key words <em>acellular dermis, acellular dermal matrix, human acellular dermal allograft </em>and <em>abdominal wall defect</em>. To assess methodological quality, each article was subjected to a modification of the methodological index for non-randomized studies (MINORS) according to Slim <em>et al.</em> Two items from the original index were not included because none of the studies selected had an unbiased assessment of the study end points and in none of the studies was a prospective calculation of the study size performed. Seventeen studies were included in the review. Data were extracted regarding study design, number of patients, surgical technique, followup period, contaminated or non-contaminated area of the fascia defect, mortality and morbidity (hemorrhage, seroma, wound dehiscence, infection) of the operative procedure, the longterm results (removal of the graft, reherniation and bulging) and level of evidencey. A total of 169 short-term complications and 151 longterm complications occurred after 643 surgical procedures reconstructing both contaminated and clean abdominal wall defects by implantation of an HADA. Human acellular dermal allograft seems to be a good alternative for autologous repair of contaminated or infected abdominal wall defects.

scholarly journals Left Colon Diverticulitis Presenting as Perforated Lumbar Abscess: A Case Report and Review of the Current Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Daniel Paramythiotis ◽  
Konstantinia Kofina ◽  
Vassileios N. Papadopoulos ◽  
Antonios Michalopoulos
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Surgical Treatment ◽  
Abdominal Wall ◽  
Current Literature ◽  
Left Colon ◽  
Common Complication ◽  
Colon Diverticulitis ◽  
The Creation

Diverticular perforation is a common complication of diverticulitis and can lead to the creation of abscesses. The presence of such abscesses on the abdominal wall is rare and can lead to misdiagnosis. We present the case of a patient with abdominal pain and the formation of a large left lumbar abscess due to perforation of a diverticulum of the left colon and our surgical treatment of choice with favorable results.

The Impact of Mesh Reinforcement with Components Separation for Abdominal Wall Reconstruction

2018 ◽  
Vol 84 (6) ◽  
pp. 959-962 ◽  
Author(s):  
Seyed Amirhossein Razavi ◽  
Karan A. Desai ◽  
Alexandra M. Hart ◽  
Peter W. Thompson ◽  
Albert Losken
Keyword(s):  
Postoperative Complications ◽  
Surgical Site Infection ◽  
Abdominal Wall ◽  
Recurrence Rate ◽  
Abdominal Wall Reconstruction ◽  
Abdominal Hernia ◽  
Fascial Closure ◽  
Site Infection ◽  
Components Separation ◽  
The Impact

The goal in abdominal wall reconstruction (AWR) is to minimize morbidity and prevent hernia recurrence. Components separation and mesh reconstruction are two options, however, with advantages and disadvantages. The purpose of this review was to investigate outcomes in patients with abdominal wall hernia undergoing primary closure with component separation (CS) versus CS with acellular dermal matrix (ADM) reinforcement (CS + mesh). Medical records of consecutive patients who underwent abdominal wall reconstruction using CS with or without ADM reinforcement were retrospectively reviewed. Primary fascial closure was achieved in all patients. ADM reinforcement when used was performed using the underlay technique. Reconstructive technique and postoperative complications including delayed healing, skin necrosis, fistula, seroma, hematoma and surgical site infection, recurrence, and reoperation were recorded. Comparisons between the two groups were assessed. One hundred and seven patients were included (mean age, 55.7; 51.4% male; median follow-up 297 days). Twenty-six patients (24%) underwent CS alone; whereas 81 patients (76%) CS + mesh placement. Patient comorbidities, including smoking (26%), diabetes (20%), and hypertension (46%); body mass index (mean 32.3 ± 7.6); and albumin level on the day of surgery (mean 3.4 ± 0.5 mg/dL) were not significantly different between groups. Surgical site infection was significantly higher among CS + mesh patients (22.2%) versus CS only patients (3.9%) (P = 0.02). The recurrence rate of abdominal hernia was significantly lower in CS + mesh patients compared with CS only (14.8% vs 34.6%; P = 0.02). No significant differences in other postoperative complications were identified between the two groups. ADM reinforcement at the time of components separation is often selected in more complex, higher risk patients. Although the incidence of infection was higher in these patients, it was usually treated without mesh removal and recurrence rate was significantly lower when compared to CS alone.

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