scholarly journals Abdominal wall reconstruction using biosynthetic absorbable mesh in high-risk complex ventral hernia

2021 ◽  
Author(s):  
David Finch ◽  
Sajid Mehmood ◽  
Joseph Varghese
Keyword(s):  
High Risk ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Abdominal Wall Reconstruction ◽  
Absorbable Mesh ◽  
Complex Ventral Hernia

Long-Term Clinical Outcomes of an Antibiotic-Coated Non–Cross-linked Porcine Acellular Dermal Graft for Abdominal Wall Reconstruction for High-Risk and Contaminated Wounds

2021 ◽  
pp. 000313482110233
Author(s):  
Jordan Robinson ◽  
Jesse K. Sulzer ◽  
Benjamin Motz ◽  
Erin H. Baker ◽  
John B. Martinie ◽  
...  
Keyword(s):  
High Risk ◽  
Abdominal Wall ◽  
Clinical Outcomes ◽  
Open Abdomen ◽  
Abdominal Wall Reconstruction ◽  
Dermal Graft ◽  
Elective Repair ◽  
Acellular Dermal

Background Abdominal wall reconstruction in high-risk and contaminated cases remains a challenging surgical dilemma. We report long-term clinical outcomes for a rifampin-/minocycline-coated acellular dermal graft (XenMatrix™ AB) in complex abdominal wall reconstruction for patients with a prior open abdomen or contaminated wounds. Methods Patients undergoing abdominal wall reconstruction at our institution at high risk for surgical site occurrence and reconstructed with XenMatrix™ AB with intent-to-treat between 2014 and 2017 were included. Demographics, operative characteristics, and outcomes were collected. The primary outcome was hernia recurrence. The secondary outcomes included length of stay, surgical site occurrence, readmission, morbidity, and mortality. Results Twenty-two patients underwent abdominal wall reconstruction using XenMatrix™ AB during the study period. Two patients died while inpatient from progression of their comorbid diseases and were excluded. Sixty percent of patients had an open abdomen at the time of repair. All patients were from modified Ventral Hernia Working Group class 2 or 3. There were a total of four 30-day infectious complications including superficial cellulitis/fat necrosis (15%) and one intraperitoneal abscess (5%). No patients required reoperation or graft excision. Median clinical follow-up was 38.2 months with a mean of 35.2 +/− 18.5 months. Two asymptomatic recurrences and one symptomatic recurrence were noted during this period with one planning for elective repair of an eventration. Follow-up was extended by phone interview which identified no additional recurrences at a median of 45.5 and mean of 50.5 +/−12.7 months. Conclusion We present long-term outcomes for patients with high-risk and contaminated wounds who underwent abdominal wall reconstruction reinforced with XenMatrix™ AB to achieve early, permanent abdominal closure. Acceptable outcomes were noted.

Seven years of preoperative BTA abdominal wall preparation and the Macquarie system for surgical management of complex ventral hernia

Hernia ◽  
2021 ◽  
Author(s):  
A. Jacombs ◽  
K. Elstner ◽  
O. Rodriguez-Acevedo ◽  
J. W. Read ◽  
K. Ho-Shon ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Surgical Management ◽  
Complex Ventral Hernia

scholarly journals Ventral hernia from routine repairs to abdominal wall reconstruction: our initial experience

2020 ◽  
Vol 7 (10) ◽  
pp. 3348
Author(s):  
Sheetal Ishwarappagol ◽  
Rohit Krishnappa
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Abdominal Wall Reconstruction ◽  
Tobacco Consumption ◽  
Transversus Abdominis ◽  
Abdominal Pressure ◽  
Postural Stabilization ◽  
History Of ◽  
And Function ◽  
Ventral Hernias

Background: Loss of continuity of abdominal wall significantly affects the functions of protection of viscera, postural stabilization, and maintenance of intra-abdominal pressure. The newer understanding of abdominal wall reconstruction (AWR) aims at restoring abdominal wall anatomy and function, instead of simply patching the defect. We want to showcase the changing trends and results in hernia repair at a Medical Institution.Methods: This is an observational retrospective study conducted in RRMCH, Bengaluru from July 2018-2019 including all patients with ventral hernia undergoing the specified hernia repairs.Results: A total of 54 patients with ventral hernias undergoing routine hernia repairs/AWR surgeries were retrospectively analysed. The overall mean age was 46.62±12.44 year. Majority subjects were females (n=37; 68.5%), and overweight (Mean BMI=28.07±3.01/m2). 14 patients (25.92%), all males, had history of tobacco consumption. There were 38 (70.37%) primary ventral hernias and 7 recurrent hernias. Overall mean defect size was 10.2±0.4 cm. Most frequently performed was open retro rectus Hernioplasty (n=18; 33.33%), followed by open Preperitoneal Hernioplasty (n=17; 31.48%), laparoscopic intraperitoneal onlay mesh (IPOM) (n=16; 29.62%) and open transversus abdominis release (TAR) (n=3; 5.5%). On statistical analysis, it was found that Open repairs had higher post-operative pain (p=0.0005), longer hospitalization (p=0.0002) and higher incidence of surgical site events (p=0.0134) when compared to Laparoscopic repairs.Conclusion: As known already, minimally invasive techniques of hernia surgeries are shown to have acceptable outcomes when compared to radical open surgeries. Newer techniques of AWR are being employed to routine cases in larger numbers, and not just for complex reconstruction, at most centres with acceptable outcomes. 

Negative Pressure Therapy for High-Risk Abdominal Wall Reconstruction Incisions

2013 ◽  
Vol 14 (3) ◽  
pp. 270-274 ◽  
Author(s):  
Eric M. Pauli ◽  
David M. Krpata ◽  
Yuri W. Novitsky ◽  
Michael J. Rosen
Keyword(s):  
High Risk ◽  
Abdominal Wall ◽  
Negative Pressure ◽  
Abdominal Wall Reconstruction ◽  
Negative Pressure Therapy ◽  
Pressure Therapy

Preventive abdominal wall repair in high-risk groups of postoperative ventral hernia

2019 ◽  
pp. 32
Author(s):  
A. V. Fedoseyev ◽  
V. V. Rybachkov ◽  
S. N. Trushin ◽  
S. N. Lebedev ◽  
A. S. Inyutin
Keyword(s):  
High Risk ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Risk Groups ◽  
Abdominal Wall Repair

The biological prosthesis is a viable option for abdominal wall reconstruction in pediatric high risk defects

2017 ◽  
Vol 214 (3) ◽  
pp. 479-482 ◽  
Author(s):  
Osnat Zmora ◽  
Shannon L. Castle ◽  
Stephanie Papillon ◽  
James E. Stein
Keyword(s):  
High Risk ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Viable Option ◽  
Biological Prosthesis
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