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Published in: Hernia 4/2007

01-08-2007 | Original Article

Hernia repair with porcine small-intestinal submucosa

Authors: L. Ansaloni, F. Catena, S. Gagliardi, F. Gazzotti, L. D’Alessandro, A. D. Pinna

Published in: Hernia | Issue 4/2007

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Abstract

Purpose

Although at present nonabsorbable meshes are the preferred material for tension-free hernioplasty, some problems with their use have yet to be addressed (i.e., chronic pain and infections). In order to address these disadvantages, a collagen-based material, the porcine small-intestinal submucosa mesh (Surgisis Inguinal Hernia Matrix, Cook Surgical, Bloomington, IN, USA), has recently been developed for hernia repair.

Methods

With the aim of investigating the clinical safety and effectiveness of Surgisis IHM inguinal hernia repair, we report our experience of 45 consecutive hernioplasties with a medium-term follow-up. The surgical technique for the use of this material in hernioplasty is described in detail.

Results

Although some local (i.e., seromas) and general (i.e., hyperpyrexia), complications appeared in the immediate postoperative period (all of them disappeared spontaneously), no rejection or infection was observed after operations. At the 2-year follow-up, a low degree of pain and discomfort and no recurrences were observed.

Conclusions

We conclude that the Surgisis IHM hernioplasty is feasible with promising results and, from a clinical perspective, seems safe and effective.
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Metadata
Title
Hernia repair with porcine small-intestinal submucosa
Authors
L. Ansaloni
F. Catena
S. Gagliardi
F. Gazzotti
L. D’Alessandro
A. D. Pinna
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Hernia / Issue 4/2007
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-007-0225-4

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