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Experience with management of anterior abdominal wall defects using bovine pericard

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Abstract

During 5 years from 1999 until 2003, our experience with 29 (100%) neonates managed for anterior abdominal wall defects is presented. Twenty-one (72%) neonates presented with gastroschisis and 8 (28%) neonates with giant omphaloceles. The male:female ratio was almost equal in gastroschisis (1:1) while a male predominance was observed in omphaloceles (6:1). A primary closure of the defect was possible in 5 (17%) cases and a single patch along with skin closure was achieved in a further 9 (31%) cases. In 15 (52%) neonates the defect was large and two patches were employed to sufficiently cover the defect. All patients (97%), except one (mortality due to extreme prematurity), were managed successfully. Depending upon the size of the defect and the metabolic condition of the neonate, the defect closure was completed after a mean of 85.7 days. Special protocols were created to manage the bovine pericard patches, which behaved differently to lyophilized dura patches previously used at our center. Integration of the patches was successful in 28 (97%) neonates; however, one neonate with gastroschisis presented significant challenges in the management. Bovine pericard patches are optimal biomaterials for the closure of anterior abdominal wall defects in gastroschisis and omphaloceles.

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References

  1. Campbell JB, Basset CAL, Robertson JW (1958) Clinical use of freeze-dried human dura mater. J Neurosurg 66:93–95

    Google Scholar 

  2. Sharkey PC, Usher FC, Robertson RCL (1958) Lyophilized human dura mater as a dural substitute. J Neurosurg 15:192–198

    Article  PubMed  CAS  Google Scholar 

  3. Stoss H, Pesch HJ, Wildenauer HD, Tulusan AH (1975) Light and electron microscopy studies on dura transplants preserved with solvents in animal experiments [German]. Verh Dtsch Ges Pathol 59:569

    PubMed  CAS  Google Scholar 

  4. Pesch HJ, Stoss H (1977) The solvent-dried dura mater. A new dura transplant in the animal experiment. Chirurg 48(11):723–736

    Google Scholar 

  5. Saxena AK, Hülskamp G, Schleef J, Schaarschmidt K, Harms E, Willital GH (2002) Gastroschisis: a 15-years, single-center experience. Pediatr Surg Int 18:420–424

    Article  PubMed  Google Scholar 

  6. Saxena AK, Willital GH (2002) Omphalocele: clinical review and surgical experience using dura patch grafts. Hernia 6:73–78

    Article  PubMed  CAS  Google Scholar 

  7. Martinez-Lage JF, Sola J, Pozs M, Esteban JA (1993) Pediatric Creutzfeld-Jacob disease: probable transmission by a dural graft. Childs Nerv Syst 9:9–242

    Article  PubMed  CAS  Google Scholar 

  8. Masullo C, Pocchiari M, Macchi G, Alema G, Piazza G, Panzera MA (1989) Transmission of Creutzfeld-Jacobs disease by dural cadaveric graft. J Neurosurg 71:954–955

    PubMed  CAS  Google Scholar 

  9. Miyashita K, Inuzuka T, Kondo H (1991) Creutzfeld-Jacobs disease in a patient with a cadaveric dural graft. Neurology 41:940–941

    PubMed  CAS  Google Scholar 

  10. Crawford FA Jr, Sade RM, Spinale F (1986) Bovine pericardium for correction of congenital heart defects. Ann Thorac Surg 41:602–605

    Article  PubMed  Google Scholar 

  11. Hutson JM, Azmy AF (1985) Preserved dura and pericardium for closure of large abdominal wall and diaphragmatic defects in children. Ann Roy Col Surg Engl 67(2):107–108

    CAS  Google Scholar 

  12. Weller U, Jorch G (1993) Aktuelle Perzentilenkurven für Körpergewicht, Körperlänge und Kopfumfang von Neugeborenen ab 25. SSW. Monatsschr Kinderheilkd 141:665–669

    PubMed  CAS  Google Scholar 

  13. Saxena AK, Willital GH (2001) Congenital anterior wall defects: an era of solvent dried dura patches. World Congress of Surgery ISS/SIC 26–30, August, Brussels, Belgium

  14. Srenathan SK, Langer JC, Wang JL, Rubin DC (1997) Enterocytic gene expression is altered in experimental gastroschisis. J Surg Res 68:1–6

    Article  Google Scholar 

  15. Grosfeld JL, Dawes L, Weber TR (1981) Congenital abdominal wall defects: current management and survival. Surg Clin North Am 61(5):1037–1049

    PubMed  CAS  Google Scholar 

  16. Haller JA Jr, Kehrer BH, Shaker IJ, Shermeta DW, Wyllie RG (1974) Studies of the path physiology of gastroschisis in fetal scheep. J Pediatr Surg 9(5):627–32

    Article  PubMed  Google Scholar 

  17. Decurtins M, Buchmann P (1982) Bovines Perikard – ein neues Material zur Deckung großer Bauchwanddehiszenzen. Res Exp Med (Berl) 180:11–14

    Article  CAS  Google Scholar 

  18. Jansen B, Schumacher-Perdreau F, Peters G, Pulverer G (1989) New aspects in the pathogenesis and prevention of polymer-associated foreign body infections caused by coagulase- negative staphylococci. J Invest Surg 2(4):361–380

    Article  PubMed  CAS  Google Scholar 

  19. Merritt K, Shafer JW, Brown SA (1979) Implantation side infection rates with porous and dense materials. J Biomed Mat Res 13(1):101–108

    Article  CAS  Google Scholar 

  20. Beets GL, Go PM, van Mameren H (1996) Foreign body reactions to monofilament and braided polypropylene mesh used as preperitoneal implants in pigs. Eur J Surg 162(10):823–825

    PubMed  CAS  Google Scholar 

  21. Anson JA, Marchand EP (1996) Bovine pericardium for dural grafts. Clinical results in 35 patients. Neurosurgery 39:764–768

    Article  PubMed  CAS  Google Scholar 

  22. Laun A, Tonn JC, Jerusalem C (1990) Comparative study of lyophilized dura mater and lyophilized bovine pericardium as dural substitutes in neurosurgery. Acta Neurochir (Wien) 107:16–21

    Article  CAS  Google Scholar 

  23. Gok A, Zorludemir S, Polat S, Tap O, Kaya M (1995) Experimental evaluation of peritoneum and pericardium as dural substitutes. Res Exp Med (Berl) 195:31–38

    Article  CAS  Google Scholar 

  24. Parizek J, Mericka P, Husek Z, Suba P, Spacek J, Nemecek S, Nemeckova J, Sercl M, Elias P (1997) Detailed evaluation of 2959 allogenic and xenogenic dense connective tissue grafts (fascia lata, pericardium, and dura mater) used in the course of 20 years for duraplasty in neurosurgery. Acta Neurochir (Wien) 139:827–838

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Pediatric Surgical University Clinic Münster, Munster, Germany

    Cornelia van Tuil, Amulya K. Saxena & Günter H. Willital

  2. Klinik für Kinder- und Neugeborenenchirurgie, Westfälische Wilhelms Universität, Albert-Schweitzer-Straße 33, Münster, 48149, Germany

    Cornelia van Tuil

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  1. Cornelia van Tuil
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  2. Amulya K. Saxena
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  3. Günter H. Willital
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Correspondence to Cornelia van Tuil.

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van Tuil, C., Saxena, A.K. & Willital, G.H. Experience with management of anterior abdominal wall defects using bovine pericard. Hernia 10, 41–47 (2006). https://doi.org/10.1007/s10029-005-0037-3

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