Onlay ventral hernia repairs using porcine non-cross-linked dermal biologic mesh
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- 作者：E. T. Alicuben (1)
S. R. DeMeester (1) - 关键词：Ventral hernia ; Component separation ; Biologic mesh ; Onlay ventral hernia repair ; Open ventral hernia repair ; Non ; cross ; linked porcine dermal biologic mesh
- 刊名：Hernia
- 出版年：2014
- 出版时间：October 2014
- 年：2014
- 卷：18
- 期：5
- 页码：705-712
- 全文大小：5,036 KB
- 参考文献：1. Kingsnorth A, LeBlanc K (2003) Hernias: inguinal and incisional. Lancet 362:1561鈥?571 CrossRef
2. Choi JJ, Palaniappa NC, Dallas KB et al (2012) Use of mesh during ventral hernia repair in clean-contaminated and contaminated cases: outcomes of 33,832 cases. Ann Surg 255:176鈥?80 CrossRef
3. Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg 237:129鈥?35 CrossRef
4. Luijendijk RW, Hop WC, van den Tol MP et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392鈥?98 CrossRef
5. Ventral Hernia Working Group, Breuing K, Butler CE et al (2010) Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery 148:544鈥?58 CrossRef
6. Ramirez OM, Ruas E, Dellon AL (1990) 鈥淐omponents separation鈥?method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg 86:519鈥?26 CrossRef
7. Shankaran V, Weber DJ, Reed RL 2nd, Luchette FA (2011) A review of available prosthetics for ventral hernia repair. Ann Surg 253:16鈥?6 CrossRef
8. Burger JWA, Luijendijk RW, Hop WCJ et al (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578鈥?83 discussion 583鈥?75
9. Awad ZT, Puri V, LeBlanc K et al (2005) Mechanisms of ventral hernia recurrence after mesh repair and a new proposed classification. J Am Coll Surg 201:132鈥?40 CrossRef
10. Iqbal CW, Pham TH, Joseph A et al (2007) Long-term outcome of 254 complex incisional hernia repairs using the modified Rives-Stoppa technique. World J Surg 31:2398鈥?404 CrossRef
11. Harth KC, Broome AM, Jacobs MR et al (2011) Bacterial clearance of biologic grafts used in hernia repair: an experimental study. Surg Endosc 25:2224鈥?229 CrossRef
12. Melman L, Jenkins ED, Hamilton NA et al (2011) Early biocompatibility of crosslinked and non-crosslinked biologic meshes in a porcine model of ventral hernia repair. Hernia 15:157鈥?64 CrossRef
13. Helton WS, Fisichella PM, Berger R et al (2005) Short-term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg 140:549鈥?60 (discussion 560鈥?42) CrossRef
14. Gupta A, Zahriya K, Mullens PL et al (2006) Ventral herniorrhaphy: experience with two different biosynthetic mesh materials, Surgisis and Alloderm. Hernia 10:419鈥?25 CrossRef
15. Bluebond-Langner R, Keifa ES, Mithani S et al (2008) Recurrent abdominal laxity following interpositional human acellular dermal matrix. Ann Plast Surg 60:76鈥?0 CrossRef
16. Maurice SM, Skeete DA (2009) Use of human acellular dermal matrix for abdominal wall reconstructions. Am J Surg 197:35鈥?2 CrossRef
17. Ko JH, Salvay DM, Paul BC et al (2009) Soft polypropylene mesh, but not cadaveric dermis, significantly improves outcomes in midline hernia repairs using the components separation technique. Plast Reconstr Surg 124:836鈥?47 CrossRef
18. Hiles M, Record Ritchie RD, Altizer AM (2009) Are biologic grafts effective for hernia repair?: a systematic review of the literature. Surg Innov 16:26鈥?7 CrossRef
19. Pomahac B, Aflaki P (2010) Use of a non-cross-linked porcine dermal scaffold in abdominal wall reconstruction. Am J Surg 199:22鈥?7 CrossRef
20. Diaz-Siso JR, Bueno E, Pomahac B (2012) Abdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study. Hernia 17:37鈥?4
21. Byrnes MC, Irwin E, Carlson D et al (2011) Repair of high-risk incisional hernias and traumatic abdominal wall defects with porcine mesh. Am Surg 77:144鈥?50
22. Rosen MJ, Reynolds H, Champagne B, Delaney CP (2010) A novel approach for the simultaneous repair of large midline incisional and parastomal hernias with biologic mesh and retrorectus reconstruction. Am J Surg 199:416鈥?21 CrossRef
23. Rosen MJ DG, Itani KM, Butler C, Vargo D, Smiell J, Rutan R (2012) Evaluation of surgical outcomes of retro-rectus versus intraperitoneal reinforcement with bio-prosthetic mesh in the repair of contaminated ventral hernias. Hernia; published on-line 14 March 2012
24. Patel KM NM, Gatti M, Bhanot P (2011) Indications and outcomes following complex abdominal reconstruction with component separation combined with porcine acellular dermal matrix reinforcement. Ann Plast Surg; e-published 2011
25. Parra MW, Rodas EB, Niravel AA (2011) Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series. Hernia 15:575鈥?78 CrossRef
26. den Hartog D, Dur A, Tuinebreijer WE, Kreis RW (2011) Open surgical procedures for incisional hernias (review). The Cochrane Library, Wiley, pp 1鈥?3
27. Kaafarani HMA, Hur K, Hirter A et al (2009) Seroma in ventral incisional herniorrhaphy: incidence, predictors and outcome. Am J Surg 198:639鈥?44 CrossRef
28. Klima DA, Brintzenhoff RA, Tsirline VB et al (2011) Application of subcutaneous talc in hernia repair and wide subcutaneous dissection dramatically reduces seroma formation and postoperative wound complications. Am Surg 77:888鈥?94
29. Culbertson EJ, Xing L, Wen Y, Franz MG (2011) Loss of mechanical strain impairs abdominal wall fibroblast proliferation, orientation, and collagen contraction function. Surgery 150:410鈥?17 CrossRef - 作者单位：E. T. Alicuben (1)
S. R. DeMeester (1)
1. Department of Surgery, Keck School of Medicine, The University of Southern California, 1510 San Pablo St, Suite 514, Los Angeles, CA, 90033, USA - ISSN：1248-9204
文摘
Introduction Ventral hernias are common and repair with mesh has been shown to reduce recurrence. However, synthetic mesh is associated with a risk of infection. Biologic mesh is an alternative that may be less susceptible to infection. Typically, the sublay position is preferred for mesh placement but this technique takes longer and has not been shown to have a lower recurrence rate than an onlay mesh. The aim of this study was to evaluate the outcome of complex ventral hernia repair using a porcine non-cross-linked biologic mesh onlay. Methods A retrospective chart review was performed of all patients that had a ventral hernia repair with biologic mesh from January 2009 to March 2012. The operative procedure in all patients was an open repair with primary fascial closure (if possible) with or without external oblique component separation and porcine biologic mesh onlay. Results There were 22 patients that had a ventral hernia repair, 19 primary and 3 recurrent. The majority were men, had hernia grade 3 or 4, and developed the hernia after an esophagectomy or gastrectomy for cancer. All but one had primary closure with a porcine biologic mesh onlay. One patient was bridged for loss of domain. A bilateral external oblique component separation was added in 16 patients (73聽%). The median hospital stay was 7聽days. There were two superficial wound infections, one with exposed mesh, but no patient required mesh removal. A seroma requiring intervention developed in 6 patients (27聽%) and resolved with pig-tail drainage. At a median follow-up of 7聽months, there has been no hernia recurrence apart from the patient that was bridged. Conclusions Porcine non-cross-linked biologic mesh overlay has excellent short-term results in patients at increased risk for mesh infection. No patient required mesh removal, and there have been no recurrent hernias in patients with primary fascial closure. Biologic bridging is not effective for long-term abdominal wall reconstruction.