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Impact of pericardium bovine patch (Tutomesh庐) on incisional hernia treatment in contaminated or potentially contaminated fields: retrospective comparative study
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  • 作者:A. Gurrado (1)
    I. F. Franco (1)
    G. Lissidini (1)
    G. Greco (2)
    M. De Fazio (2)
    A. Pasculli (1)
    A. Girardi (1)
    G. Piccinni (1)
    V. Memeo (2)
    M. Testini (1)

    1. Unit of Endocrine
    ; Digestive ; and Emergency Surgery ; Department of Biomedical Sciences and Human Oncology ; University Medical School ; 鈥淎ldo Moro鈥?of Bari ; Policlinico ; P.zza G. Cesare ; 11 ; 70124 ; Bari ; Italy
    2. Unit of General Surgery and Liver Transplantation
    ; Department of Emergency Surgery and Organ Transplantation ; University Medical School ; 鈥淎ldo Moro鈥?of Bari ; Policlinico ; P.zza G. Cesare ; 11 ; 70124 ; Bari ; Italy
  • 关键词:Ventral hernia ; Pericardium bovine patch ; Contaminated field ; Prosthetic mesh ; Hernia repair ; Incisional hernia
  • 刊名:Hernia
  • 出版年:2015
  • 出版时间:April 2015
  • 年:2015
  • 卷:19
  • 期:2
  • 页码:259-266
  • 全文大小:216 KB
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    3. Usher, FC, Ochsner, J, Tuttle, LL (1958) Use of marlex mesh in the repair of incisional hernias. Am Surg 24: pp. 969-974
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    5. Burger, JW, Luijendijk, RW, Hop, WC (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240: pp. 578-583
    6. Alaedeen, DI, Lipman, J, Medalie, D, Rosen, MJ (2007) The single-staged approach to the surgical management of abdominal wall hernias in contaminated fields. Hernia 11: pp. 41-45 CrossRef
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    8. Martin-Duce, A, Noguerales, F, Villeta, R, Hernandez, P, Lozano, O, Keller, J, Granell, J (2001) Modifications to rives technique for midline incisional hernia repair. Hernia 5: pp. 70-72 CrossRef
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    12. D鈥橝mbra, L, Berti, S, Feleppa, C, Magistrelli, P, Bonfante, P, Falco, E (2012) Use of bovine pericardium graft for abdominal wall reconstruction in contaminated fields. World J Gastrointest Surg 4: pp. 171-176 CrossRef
    13. Diaz, JJ, Conquest, AM, Ferzoco, SJ, Vargo, D, Miller, P, Wu, YC, Donahue, R (2009) Multi-institutional experience using human acellular dermal matrix for ventral hernia repair in a compromised surgical field. Arch Surg 144: pp. 209-215 CrossRef
    14. Clemens, MW, Selber, JC, Liu, J, Adelman, DM, Baumann, DP, Garvey, PB, Butler, CE (2013) Bovine versus porcine acellular dermal matrix for complex abdominal wall reconstruction. Plast Reconstr Surg 131: pp. 71-79 CrossRef
    15. Catena, F, Ansaloni, L, Gazzotti, F, Gagliardi, S, Saverio, S, D鈥橝lessandro, L, Pinna, AD (2007) Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields. Hernia 11: pp. 57-60 CrossRef
    16. Campanelli, G, Nicolosi, FM, Pettinari, D, Avesani, EC (2004) Prosthetic repair, intestinal resection, and potentially contaminated areas: safe and feasible?. Hernia 8: pp. 190-192 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 This retrospective comparative study analyzes the outcome of patients affected by incisional hernia in potentially contaminated or contaminated field, treated by three operative techniques. Methods 152 patients (62 M:90 F; mean age 65聽卤聽14聽years) underwent incisional hernia repair (January 2002鈥揓anuary 2012) in complicated settings. Criteria of inclusion in the study were represented by the following causes of admission: mesh rejection/infection, obstruction without gangrene but with possible peritoneal bacterial translocation, obstruction with gangrene, enterocutaneous fistula or simultaneous presence of ileo- or colostomy. The patients were divided into three groups: A (n聽=聽76), treated with primary closure technique; B and C (n聽=聽38 each), with reinforcement by synthetic or pericardium bovine mesh (Tutomesh庐), respectively. The prosthetic groups were divided into Onlay and Sublay subgroups. Results Significant decreases in C vs A were observed for wound infection (3 vs 37聽%) and recurrence (0 vs 14聽%), and in C vs B for wound infection (3 vs 53聽%), seroma (0 vs 34聽%) and recurrence (0 vs 16聽%). Patients with concomitant bowel resection (BR) (43聽%) showed (all P聽Onlay or Sublay subgroups. B-Sublay subgroup has (all P聽Onlay. Conclusions The pericardium bovine patch seems to be safe and effective to successfully repair ventral hernia in potentially contaminated operative fields, especially in association with bowel resection.

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