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.

Left-Sided Gastroschisis

2006 ◽  
Vol 72 (7) ◽  
pp. 637-640 ◽  
Author(s):  
Kenneth W. Gow ◽  
Amina Bhatia ◽  
Daniel F. Saad ◽  
Mark L. Wulkan ◽  
Kurt F. Heiss
Keyword(s):  
Abdominal Wall ◽  
Clinical Course ◽  
Abdominal Wall Defect ◽  
Abdominal Wall Defects ◽  
Wall Defect ◽  
The Right

Gastroschisis is a periumbilical, abdominal wall defect arising to the right of the umbilicus. We describe the clinical course of a left-sided gastroschisis in a term female born at 39 weeks’ gestation. To our knowledge, there have been only 14 left-sided abdominal wall defects reported in the literature. We discuss our case and review the literature to try to determine if there is any clinic difference between right- versus left-sided lesions to make recommendations as to management.

scholarly journals The Oscar Ramirez Procedure, a Solution for Treating Incisional Hernias with Big Abdominal Wall Defect

2014 ◽  
Vol 60 (3) ◽  
pp. 122-124
Author(s):  
M. Gherghinescu ◽  
D. Popa ◽  
A. Panțiru ◽  
C. Russu ◽  
C. Roșca ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Postoperative Recovery ◽  
Oblique Muscle ◽  
Abdominal Wall Defects ◽  
Hernia Sac ◽  
Wall Defect ◽  
External Edge ◽  
Incisional Hernias ◽  
Bowel Movements

Abstract Background: Incisional hernias are important complications of abdominal surgery. Normally they are followed by the growth of the hernia sac and an increase of the abdominal wall defect with loss of domain of the herniated organs. Case report: We report a case of a 51 year old female, admitted in the 1st Surgical Clinic of the County Emergency Clinical Hospital of Tîrgu Mureș with a large median reducible incisional hernia and a wall defect of 10/12 cm. The abdominoplasty was performed using the Oscar Ramirez technique, which consists of a longitudinal incision along the aponeurosis of the external oblique muscle, at approximately 1-2 cm from the external edge of the rectus abdominis. This procedure allows the abdominal wall closure. This case is part of a lot of 4 patients who received this treatment using the aforementioned procedure in the past 2 months. Postoperative recovery was favorable, bowel movements were present on the second day after the surgery, the subcutaneous drains were shortened on the fifth day and removed on the sixth. There were no immediate postoperative complications or up to a month after the surgery. The patient was discharged on the seventh day. Conclusions: This technique can be used alone in case of large abdominal wall defects, or prequeling an on-lay mesh procedure addressed to a weak abdominal wall, case in which the functional result is superior to a substitutional mesh.

scholarly journals Rectus Abdominis Muscle Malignant Fibrous Histiocytoma Causing a Large Abdominal Wall Defect: Reconstruction with Biological Mesh

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Evangelos Falidas ◽  
Stavros Gourgiotis ◽  
Christina Goudeli ◽  
Stavros Mathioulakis ◽  
Konstantinos Vlachos ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Abdominal Wall ◽  
Malignant Fibrous Histiocytoma ◽  
Fibrous Histiocytoma ◽  
Abdominal Wall Defect ◽  
Biological Mesh ◽  
Rectus Abdominis ◽  
Abdominal Wall Defects ◽  
Rectus Abdominis Muscle ◽  
Wall Defect

Malignant fibrous histiocytoma (MFH) is a common soft tissue sarcoma usually involving limbs and retroperitoneum. MFH of the rectus abdominis muscle is extremely rare. Surgery in similar cases leads to large abdominal wall defects needing reconstruction. Biological and synthetic laminar absorbable prostheses are available for the repair of hernia defects in the abdominal wall. They share the important feature of being gradually degraded in the host, resulting the formation of a neotissue. We herein report the case of an 84-year-old man with MFH of the rectus abdominis muscle which was resected and the large abdominal wall defect was successfully repaired with a biological mesh.

One of Curious Congenital Midline Abdominal Defects In Newborn: A Giant Omphalozele In A 3 Years-Old Boy

2021 ◽  
Author(s):  
Stefan Bittmann
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Abdominal Wall Defects ◽  
Wall Defect ◽  
Lateral Abdominal Wall ◽  
The Third ◽  
Abdominal Organs ◽  
Wall Components ◽  
Congenital Abdominal Wall Defects

Omphalocele is one of the congenital abdominal wall defects and specifically refers to an umbilical ring defect in which the abdominal organs protrude in front of the abdominal wall in a thin sac or membrane. Such an abdominal wall defect develops around the third week of pregnancy due to the failure of adhesion between the embryonic lateral abdominal wall components.

scholarly journals Use of alloplastic meshes in abdominal wounds of rats with induced peritonitis

2014 ◽  
Vol 27 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Rafael Calvão BARBUTO ◽  
Ivana DUVAL-ARAUJO ◽  
Sumara Marques BARRAL ◽  
Raphael Grossi ROCHA ◽  
Cristiane de Souza BECHARA ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Abdominal Wall ◽  
Granulation Tissue ◽  
Abdominal Wall Defect ◽  
Test Group ◽  
Microscopic Analysis ◽  
Female Rats ◽  
Control Group ◽  
Abdominal Wall Defects ◽  
Wall Defect

Background : The use of alloplastic meshes has been historically contra-indicated in patients with infection. Aim : To evaluate the use of polypropylene meshes in the treatment of abdominal wall defects in rats with peritonitis. Methods : Twenty Wistar female rats were divided into two groups: induction of peritonitis (test group) and without peritonitis (control group). An abdominal wall defect was created in all animals, and polypropylene mesh was applied. The evaluation of the tensile strength of the mesh was carried out using tensiometer and microscopic analysis of the healing area was done. Results : More adhesion of the mesh to the rat abdominal wall was observed in test group. The histopathological analyses showed prevalence of moderate to accentuated granulation tissue in both groups, without significant differences. Conclusion : The use of the mesh coverage on abdominal wall defects of rats with induced peritonitis did not show worse results than its use in healthy animals, nor was its integration to the resident tissue any worse.

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