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Bioprostheses: Are They the Future of Incisional/Acquired Hernia Repair?

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Recurrent Hernia
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Abstract

Our understanding of the pathobiology of hernia formation has grown tremendously in the past decade. Indeed, several well-designed, molecular-based studies have shown that many acquired hernias (e.g. direct inguinal hernia) as well as incisional hernias arise in the setting of measurable abnormalities in tissue healing — either in the production of the various types of collagen or in the remodeling and breakdown via matrix metalloproteinases [1, 2]. In addition, several well-conducted, long-term studies (>5 years follow-up) have shown that the rate of recurrences after primary autogenous repairs of incisional hernias is really much greater than we ever appreciated previously [3, 4].

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References

  1. Jansen PL, Mertens PR, Klinge U, Schumpelick V. The biology of hernia formation. Surgery 2004;136:1–4

    Article  PubMed  Google Scholar 

  2. Bellon JM, Bajo A, Ga-Honduvilla N, Gimeno MJ, Pascual G, Guerrero A, Bujan J. Fibroblasts from the transversalis fascia of young patieints with direct inuibnal hernias show constitutive MMP-2 overexpression. Ann Surg 2001;233:287–291

    Article  PubMed  CAS  Google Scholar 

  3. Burger JWA, Luijendijk RW, Hop WCJ, Halm JA, Verdaasdonk EGG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004;240:578–585

    PubMed  Google Scholar 

  4. Luijendijk RW, Hop WCJ, van den Tol MP, de Lange DCD, Braaksma MMF, Ijzermans JNM, Boelhouwer RU, de Vries BC, Salu MKM, Wereldsma JCJ, Bruifninckx CMA, Jeekel J. A comparison of suture repair with mesh repair for incisional hernia. New Engl J Med 2000;343:392–398

    Article  PubMed  CAS  Google Scholar 

  5. Klinge U, Klosterhalfen B, Muller M, Schumpelick V. Foreign body reaction to meshes used for the repair of abdominal wall hernias. Europ J Surg 1999;165:665–673

    Article  CAS  Google Scholar 

  6. Klinge U, Kosterhalfen B, Muller M, Ottinger AP, Schumpelick V. Shrinking of polypropylene mesh in vivo: an experimental study in dogs. Erop J Surg 1998;164:965–969

    Article  CAS  Google Scholar 

  7. Pu LL, and the Plastic Surgery Educational Foundation Committee. Small intestinal mucosa (Surgisis prosthetic material for repair of abdominal wall fascial defect. Plast Reconstr Surg 2005;115:2127–2131

    Article  PubMed  CAS  Google Scholar 

  8. Clarke KM, Lantz GG, Salisbury SK, Badylak SF, Hiles MC, Voytik SL. Intestine submucosa and polypropylene mesh for abdominal wall repair in dogs. J Surg Res 1996;60:107–114

    Article  PubMed  CAS  Google Scholar 

  9. Dejardin LM, Arnoczky SP, Clarke RB. Use of small intestinal submucosal implants for regeneration of large fascial defects: an experimental study in dogs. J Biomed Mater Res 1999;46:203–211

    Article  PubMed  CAS  Google Scholar 

  10. Voytik-Harbin SL, Brightman AO, Waisner BZ, Robinson JP, Lamar CH. Small intestinal mucosa: a tissue-derived extracellular matrix that promotes tissue-specific growth and differentiation of cells in vitro. Tissue Eng 1998;4:157–173

    Article  Google Scholar 

  11. Allman AJ, McPherson TB, Merrill LC, Badylak SF, Metzger DW. The Th2-restricted immune response to xenogenic small intestinal submucosa does not influence systemic protective immunity to viral or bacterial pathogens. Tissue Eng 2002;8:53–62

    Article  PubMed  CAS  Google Scholar 

  12. Eid GM, Mattar SG, Hamad G, Cottam DR, Lord JL, Watson A, Dallal RM, Schauer PR. Repair of ventral hernias in morbidly obese patients undergoing laparoscopic gastric bypass should not be deferred. Surg Endosc 2004;18:207–210

    Article  PubMed  CAS  Google Scholar 

  13. Ueno T, Pickett LC, de la Fuente SG, Lawson DC, Pappas TN. Clinical application of porcine small intestinal submucosa in the management of infected or potentially contaminated abdominal defects. J Gastrointest Surg 2004;8:109–112

    Article  PubMed  Google Scholar 

  14. Franklin ME Jr, Gonzalez JJ Jr, Glass JL. Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia 2004;8:186–189

    PubMed  Google Scholar 

  15. Helton WS, Fisichella PM, Berger R, Horgan S, Espat NJ, Abcarian H. Short-term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg 2005;140:549–560

    Article  PubMed  Google Scholar 

  16. Macleod TM, Wiliams G, Sanders R, Green CJ. Histological evaluation of Permacol? as a subcutaneous implant over a 20-week period in the rat model. Brit J Plast Surg 2005;58:518–532

    Article  PubMed  CAS  Google Scholar 

  17. Adedeji OA, Bailey CA, Varma JS. Porcine dermal collagen graft in abdominal-wall reconstruction. Br J Plastic Surg 2002;55:85–86

    Article  CAS  Google Scholar 

  18. Holton LH, Kim D, Silverman RP, Rodriguez ED, Singh N, Goldberg NH. Human acellular dermal matrix for repair of abdominal wall defects: review of clinical experience and experimental data. J Long-Term Effects of Med Implants 2005;15:547–558

    Article  Google Scholar 

  19. Wainwright D, Madden M, Luterman A, Hunt J, Monafo W, Heimbach D, Kagan R, Sittig K, Dimick A, Herndon D. Clinical evaluation of an accellular alograft dermal matrix in fullthickness burns. J Burn Care Rehabil 1996;172:124–136

    Article  Google Scholar 

  20. Eppley BL. Experimental assessment of the revascularization of acellular human dermis for soft-tissue augmentation. Past Reconstr Surg 2001;107:757–762

    Article  CAS  Google Scholar 

  21. Adhikary S, Beniker HD, Garfield J, Griffey ES, Harper JA, Livesey SA, McQuillan DJ, Ott D, Owens RT. Biochemical and ultrastructural characterization of an acellular extracellular matrix scaffold (AlloDerm?): utility in tissue regeneration and potential for gene delivery. American Society for Matrix Biology, 2002

    Google Scholar 

  22. Menon NG, Rodriguez ED, Byrnes CK, Girotto JA, Goldberg NH, Silverman RP. Revascularization of human acellular dermis in full-thickness abdominal reconstruction in the rabbit model. Ann Plast Surg 2003:50:523–527

    Article  PubMed  Google Scholar 

  23. Silverman RP, Li EN, Holton LH 3rd, Sawan KT, Goldberg NH. Ventral hernia repair using allogenic acellular dermal matrix in a swine model. Hernia 2004;8:336–342

    Article  PubMed  CAS  Google Scholar 

  24. Butler CE, Langstein HN, Kronowitz SJ. Pelvic, abdominal, and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications. Plast Reconstr Surg 205;116:1263–1277

    Article  CAS  Google Scholar 

  25. Scott BG, Feanny MA, Hirshberg A. Early definitive closure of the open abdomen: a quiet revolution. Scand J Surg 2005;94:9–14

    PubMed  CAS  Google Scholar 

  26. Hirsch EF. Repair of an abdominal wall defect after a salvage laparotomy for sepsis. J Am Coll Surg 2004;198:324–328

    Article  PubMed  Google Scholar 

  27. Guy JS, Miller R, Morris JA Jr, Diaz J, May A. Early one-stage closure in patients with abdominal compartment syndrome: fascial replacement with human acellular dermis and bipedicle flaps. Am Surg 2003;69:1025–1028

    PubMed  Google Scholar 

  28. Buinewicz B, Rosen B. Acellular cadaveric dermis (AlloDerm): a new alternative for abdominal hernia repair. Ann Plast Surg 2004;52:188–194

    Article  PubMed  Google Scholar 

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© 2007 Springer-Verlag Berlin Heidelberg

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Sarr, M.G., Podgaetz, E., Lane, J.S. (2007). Bioprostheses: Are They the Future of Incisional/Acquired Hernia Repair?. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Recurrent Hernia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68988-1_18

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  • DOI: https://doi.org/10.1007/978-3-540-68988-1_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-37545-6

  • Online ISBN: 978-3-540-68988-1

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