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Use of bovine pericardium graft for abdominal wall reconstruction in contaminated fields.

Title: Use of bovine pericardium graft for abdominal wall reconstruction in contaminated fields.
Authors: D'Ambra L; Luigi D'Ambra, Stefano Berti, Cosimo Feleppa, Prospero Magistrelli, Pierfrancesco Bonfante, Emilio Falco, Department of Surgery, S. Andrea Hospital, 19100 La Spezia, Italy.; Berti S; Feleppa C; Magistrelli P; Bonfante P; Falco E
Source: World journal of gastrointestinal surgery [World J Gastrointest Surg] 2012 Jul 27; Vol. 4 (7), pp. 171-6.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101532473 Publication Model: Print Cited Medium: Internet ISSN: 1948-9366 (Electronic) NLM ISO Abbreviation: World J Gastrointest Surg Subsets: PubMed not MEDLINE
Imprint Name(s): Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group; Original Publication: Beijing, China : Baishideng
Abstract: Aim: To employ, in such conditions, a biological graft such as bovine pericardium that offers resistance to infection.; Methods: In our surgical department, from January 2006 to June 2010, 48 patients underwent abdominal wall reconstruction using acellular bovine pericardium; of these 34 patients had a contaminated wound due to diffuse peritonitis (complicated diverticulitis, bowel perforation, intestinal infarction, strangled hernia, etc.) and 14 patients had hernia relapse on infected synthetic mesh.; Results: In our series, one patient died of multi-organ failure 3 d after surgery. After placement of the pericardium mesh four cases of hernia relapse occurred.; Conclusion: Recurrence rate is similar to that of prosthetic mesh repair and the application of acellular bovine pericardium (Tutomesh(®), Tutogen Medical Gmbh Germany) is moreover a safe and feasible option that can be employed to manage complicated abdominal wall defects where prosthetic mesh is unsuitable.
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Contributed Indexing: Keywords: Abdominal hernia; Abdominal wall; Bovine pericardium; Contaminated field; hernia relapse
Entry Date(s): Date Created: 20120821 Date Completed: 20121002 Latest Revision: 20211021
Update Code: 20260130
PubMed Central ID: PMC3420984
DOI: 10.4240/wjgs.v4.i7.171
PMID: 22905285
Database: MEDLINE

Journal Article