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Published in: Hernia 1/2013

01-02-2013 | Original Article

Abdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study

Authors: J. R. Diaz-Siso, E. M. Bueno, B. Pomahac

Published in: Hernia | Issue 1/2013

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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.
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Metadata
Title
Abdominal wall reconstruction using a non-cross-linked porcine dermal scaffold: a follow-up study
Authors
J. R. Diaz-Siso
E. M. Bueno
B. Pomahac
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-012-0927-0

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