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Open Access 01-12-2015 | Research article

One year experience of swine dermal non-crosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery

Authors: Giulia Montori, Federico Coccolini, Roberto Manfredi, Marco Ceresoli, Luca Campanati, Stefano Magnone, Michele Pisano, Elia Poiasina, Gabriela Nita, Fausto Catena, Luca Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2015

Abstract

Introduction

The approach to the abdominal wall surgical repair is dramatically changed in the last years. This study evaluates our institutional outcomes about the usage of biological meshes for abdominal wall repair in different setting: in elective surgery, in emergency surgery and in abdominal wall repair following open abdomen (OA) procedure.

Methods

A database was prospectively conducted (January–December 2014) and data were reviewed for patients who underwent to an abdominal wall reconstruction with swine dermal non-cross linked collagens prostheses either in elective or emergency setting, and following OA/laparostomy procedure. Demographic data, co-morbidities, indications for surgery, intra-operative details, post-operative complications and outcome (peri-operative, 3, 6, 9-months) were analyzed.

Results

A total of 30 cases were reported: 9 in elective surgery (Group 1), 4 in emergency surgery (Group 2) and 17 with abdominal wall closure following OA management (Group 3). Two meshes were removed: 1 in the Group 1 and 1 in the Group 3. During follow-up only one patient in the Group 3 had a recurrence of the incisional hernia. Mortality rate was 11.1 % at 3 months in Group 1, 0 % in the Group 2, and 29.4 % in peri-operative period in the Group 3.

Conclusions

The use of non-cross linked biological meshes can be safe and versatile in different situations from elective to emergency surgery, and also for the reconstruction of the abdominal wall after OA procedure, with an acceptable recurrence and mortality rate.

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Title: One year experience of swine dermal non-crosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery
Authors: Giulia Montori
Federico Coccolini
Roberto Manfredi
Marco Ceresoli
Luca Campanati
Stefano Magnone
Michele Pisano
Elia Poiasina
Gabriela Nita
Fausto Catena
Luca Ansaloni
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2015
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/s13017-015-0023-8

At a glance: The STEP trials

Springer Medicine

One year experience of swine dermal non-crosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery

Abstract

Introduction

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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