Abdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study.
Hernia
; 17(1): 37-44, 2013 Feb.
Article
en En
| MEDLINE
| ID: mdl-22707311
ABSTRACT
PURPOSE:
In a previous study, we have shown that non-cross-linked porcine dermal scaffolds (NCPDS) are a safe and effective alternative to prosthetic mesh in the reconstruction of complicated abdominal wall defects. Here, we report the long-term outcomes of abdominal wall reconstruction using NCPDS in a larger patient population.METHODS:
Patients who underwent abdominal wall reconstruction with NCPDS between May 2006 and December 2010 were retrospectively reviewed. Analysis of demographics, indications for NCPDS placement, surgical technique, complications, and follow-up data was performed.RESULTS:
NCPDS was used for abdominal wall repair in 40 patients. In all patients, NCPDS was positioned using an intraperitoneal technique. At a mean follow-up time of 40.1 months, most patients had successful outcomes. Complications included seroma (21 %), recurrence (7.9 %), and infection (5.2 %); these rates are comparable to our initial report. Two patients died from multi-organ failure unrelated to NCPDS placement.CONCLUSIONS:
This study shows that complex abdominal wall defects can be successfully reconstructed using NCPDS with a low rate of recurrence and complications.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Infección de la Herida Quirúrgica
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Bioprótesis
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Andamios del Tejido
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Abdominoplastia
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prognostic_studies
Límite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2013
Tipo del documento:
Article