Outcome in porcine acellular dermal matrix reinforcement of infected abdominal wall defects: a prospective study

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• 作者：P. Zerbib (1) (4)
  R. Caiazzo (2)
  G. Piessen (3)
  M. Rogosnitzky (1)
  C. S茅quier (1)
  D. Koriche (1)
  S. Truant (1)
  E. Boleslawski (1)
  J. P. Chambon (1)
  F. R. Pruvot (1)
  
  1. Department of General Surgery and Transplantation ; CHU ; Universit茅 Nord de France ; 59000 ; Lille ; France
  4. Service de Chirurgie Digestive et Transplantation ; H么pital Claude Huriez ; CHRU de Lille ; 59037 ; Lille cedex ; France
  2. Department of General and Endocrine Surgery ; CHU ; Universit茅 Nord de France ; 59000 ; Lille ; France
  3. Department of Digestive and Oncological Surgery ; CHU ; Universit茅 Nord de France ; 59000 ; Lille ; France
  
• 关键词：Porcine acellular dermal matrix ; Non ; cross ; linked ; Abdominal wall reconstruction ; Component separation ; Complex ventral hernias ; Biologic mesh
• 刊名：Hernia
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：19
• 期：2
• 页码：253-257
• 全文大小：289 KB
• 参考文献：1. Butler, CE (2006) The role of bioprosthetics in abdominal wall reconstruction. Clin Plast Surg 33: pp. 199-211 10.1016/j.cps.2005.12.009" target="_blank" title="It opens in new window">CrossRef
  2. Moore, M, Bax, T, MacFarlane, M, McNevin, MS (2008) Outcomes of the fascial component separation technique with synthetic mesh reinforcement for repair of complex ventral incisional hernias in the morbidly obese. Am J Surg 195: pp. 575-579 10.1016/j.amjsurg.2008.01.010" target="_blank" title="It opens in new window">CrossRef
  3. Jin, J, Rosen, MJ, Blatnik, J, McGee, MF, Williams, CP, Marks, J, Ponsky, J (2007) Use of acellular dermal matrix for complicated ventral hernia repair: does technique affect outcomes?. J Am Coll Surg 205: pp. 654-660 10.1016/j.jamcollsurg.2007.06.012" target="_blank" title="It opens in new window">CrossRef
  4. Itani, KM, Rosen, M, Vargo, D, Awad, SS, Denoto, G, Butler, CE (2012) Prospective study of single-stage repair of contaminated hernias using a biologic porcine tissue matrix: the RICH Study. Surgery 152: pp. 498-505 10.1016/j.surg.2012.04.008" target="_blank" title="It opens in new window">CrossRef
  5. Souza, JM, Dumanian, GA (2013) Routine use of bioprosthetic mesh is not necessary: a retrospective review of 100 consecutive cases of intra-abdominal midweight polypropylene mesh for ventral hernia repair. Surgery 153: pp. 393-399 10.1016/j.surg.2012.08.003" target="_blank" title="It opens in new window">CrossRef
  6. Breuing, K, Butler, CE, Ferzoco, S, Franz, M, Hultman, CS, Kilbridge, JF, Rosen, M, Silverman, RP, Vargo, D (2010) Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery 148: pp. 544-558 10.1016/j.surg.2010.01.008" target="_blank" title="It opens in new window">CrossRef
  7. Dindo, D, Demartines, N, Clavien, PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240: pp. 205-213 10.1097/01.sla.0000133083.54934.ae" target="_blank" title="It opens in new window">CrossRef
  8. Luijendijk, RW, Hop, WC, Tol, MP, Lange, DC, Braaksma, MM, Rzermans, JN, Boelhouwer, RU, Vries, BC, Salu, MK, Wereldsma, JC, Bruijninckx, CM, Jeekel, J (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343: pp. 392-398 10.1056/NEJM200008103430603" target="_blank" title="It opens in new window">CrossRef
  9. Butler, CE, Langstein, HN, Kronowitz, SJ (2005) Pelvic, abdominal, and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications. Plast Reconstr Surg 116: pp. 1263-1275 10.1097/01.prs.0000181692.71901.bd" target="_blank" title="It opens in new window">CrossRef
  10. Franklin, ME, Trevino, JM, Portillo, G, Vela, I, Glass, JL, Gonzalez, JJ (2008) The use of porcine small intestinal submucosa as a prosthetic material for laparoscopic hernia repair in infected and potentially contaminated fields: long-term follow-up. Surg Endosc 22: pp. 1941-1946 10.1007/s00464-008-0005-y" target="_blank" title="It opens in new window">CrossRef
  11. Patton, JH, Berry, S, Kralovich, KA (2007) Use of human acellular dermal matrix in complex and contaminated abdominal wall reconstructions. Am J Surg 193: pp. 360-363 10.1016/j.amjsurg.2006.09.021" target="_blank" title="It opens in new window">CrossRef
  12. Patel, KM, Nahabedian, MY, Gatti, M, Bhanot, P (2012) Indications and outcomes following complex abdominal reconstruction with component separation combined with porcine acellular dermal matrix reinforcement. Ann Plast Surg 69: pp. 394-398 10.1097/SAP.0b013e31822f997b" target="_blank" title="It opens in new window">CrossRef
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Abdominal Surgery
  
• 出版者：Springer Paris
• ISSN：1248-9204

文摘

Purpose Management of infected abdominal wall defects is a subject of debate, and the use of prosthetic mesh repair is not recommended due to the dramatic rate of mesh infection. The aim of this prospective study was to determine the recurrence rate and long-term outcomes of repairing infected abdominal wall defects using the Strattice porcine acellular dermal matrix reinforcement through a single-stage surgical approach. Methods From August 2010 to May 2012, consecutive patients treated for infected abdominal wall defects using Strattice, a biologic prosthesis, were enrolled. All data were collected prospectively and all patients were followed for physical examination and CT scan evaluation. The primary outcome measure was the recurrence rate. Results Eighteen patients were enrolled and 14 were evaluable. Of these, eight patients had mesh infections and six had enterocutaneous fistulas. Median follow-up was 13聽months (range, 3鈥?2) and median length of hospitalization was 13聽days (range, 4鈥?6). The Strattice was placed in the intraperitoneal underlay position in 12 patients, and in the retro-rectus position for two. Post-operative complications included skin dehiscence (n聽=聽3), wound infection (n聽=聽2), skin necrosis (n聽=聽1), and seroma (n聽=聽2). At the end of follow-up, six patients (43聽%) experienced abdominal wall defect recurrence. Conclusions The utility of biologic prostheses to repair infected abdominal wall defects is controversial; however, currently, they remain the only alternative to a two-staged surgery. Prospective, randomized studies in larger populations of patients are necessary to fully determine the usefulness of biologic prostheses in this setting.