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Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields

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Complicated hernias often involve contaminating surgical procedures in which the use of polypropylene meshes can be hazardous. Prostheses made of porcine dermal collagen (PDC) have recently been proposed as a means to offset the disadvantages of polypropylene meshes and have since been used in humans for hernia repairs. The aim of our study was to evaluate the safety and efficacy of incisional hernia repair using PDC as a mesh in complicated cases involving contamination.


A prospective study of hernia repair of complicated incisional hernias with contamination using PDC grafts was carried out at the Department of General, Emergency and Transplant Surgery of St Orsola-Malpighi University Hospital.


From January 2004 up to the writing of this article, seven patients were treated for complicated incisional hernias with a PDC prosthesis. In six out of seven patients a bowel resection was carried out. There were not surgical complications. Morbidity was 14.2%. No recurrences and wound infections were observed.


Incisional hernioplasty using PDC grafts is a potentially safe and efficient approach in complicated cases with contamination.

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  1. Dunne JR, Malone DL, Tracy JK, Napolitano LM (2003) Abdominal wall hernias: risk factors for infection and resource utilization. J Surg Res 111:78–84

    Article  PubMed  Google Scholar 

  2. Fernandez Lobato R, Martinez Santos C, Ortega Deballon P, Fradejas Lopez JM, Marin Lucas FJ, Moreno Azcoita M (2001) Colocutaneous fistula due to polypropylene mesh. Hernia 5(2):107–109

    Article  PubMed  CAS  Google Scholar 

  3. Munegato G, Brandolese R (2001) Respiratory physiopathology in surgical repair for large incisional hernias of the abdominal wall. J Am Coll Surg 192(3):298–304

    Article  PubMed  CAS  Google Scholar 

  4. Cassar K, Munro A (2002) Surgical treatment of incisional hernia. Br J Surg 89(5):534–545

    Article  PubMed  CAS  Google Scholar 

  5. Sarmah BD (1984) Porcine dermal collagen repair of incisional herniae. Br J Surg 71(7):524–525

    PubMed  CAS  Google Scholar 

  6. Harper C (2001) Permacol: clinical experience with a new biomaterial. Hosp Med 62(2):90–95

    PubMed  CAS  Google Scholar 

  7. Saray A (2003) Porcine dermal collagen [Permacol] for facial contour augmentation: preliminary report. Aesthetic Plast Surg 27(5):368–375

    Article  PubMed  Google Scholar 

  8. Klein B, Schiffer R, Hafemann B, Klosterhalfen B, Zwadlo-Klarwasser G (2001) Inflammatory response to a porcine membrane composed of fibrous collagen and elastin as dermal substitute. J Mater Sci Mater Med 2(5):419–424

    Article  Google Scholar 

  9. Zheng F, Lin Y, Verbeken E, Claerhout F, Fastrez M, De Ridder D, Deprest J (2004) Host response after reconstruction of abdominal wall defects with porcine dermal collagen in a rat model. Am J Obstet Gynecol 191(6):1961–1970

    Article  PubMed  CAS  Google Scholar 

  10. Moore RD, Miklos JR, Kohli N (2004) Rectovaginal fistula repair using a porcine dermal graft. Obstet Gynecol 104(5):1165–1167

    PubMed  Google Scholar 

  11. Holl-Allen RT (1984) Porcine dermal collagen repair of inguinal hernias. J R Coll Surg Edinb 29(3):154–157

    PubMed  CAS  Google Scholar 

  12. Campanelli G, Nicolosi FM, Pettinari D, Avesani EC (2004) Prosthetic repair, intestinal resection, and potentially contaminated areas: safe and feasible? Hernia 8(3):190–192

    Article  PubMed  CAS  Google Scholar 

  13. Catena F, Ansaloni L, Leone A, De Cataldis A, Gagliardi S, Gazzotti F, Peruzzi S, Agrusti S, D’Alessandro L, Taffurelli M (2005) Lichtenstein repair of inguinal hernia with Surgisis inguinal hernia matrix soft-tissue graft in immunodepressed patients. Hernia 9(1):29–31

    Article  PubMed  CAS  Google Scholar 

  14. Franklin ME Jr, Gonzalez JJ Jr, Glass JL (2004) Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia 8(3):186–189

    Article  PubMed  Google Scholar 

  15. Trevino JM, Franklin ME Jr, Berghoff KR, Glass JL, Jaramillo EJ (2006) Preliminary results of a two-layered prosthetic repair for recurrent inguinal and ventral hernias combining open and laparoscopic techniques. Hernia 10(3):253–257

    Article  PubMed  CAS  Google Scholar 

  16. Cobb GA, Shaffer J (2005) Cross-linked acellular porcine dermal collagen implant in laparoscopic ventral hernia repair: case-controlled study of operative variables and early complications. Int Surg 90[Suppl 3]:S24

    PubMed  Google Scholar 

  17. Liyanage SH, Purohit GS, Frye JN, Giordano P (2005) Anterior abdominal wall reconstruction with a Permacol implant. Br J Plast Surg 22:553–555

    Google Scholar 

  18. Kaleya RN (2005) Evaluation of implant/host tissue interactions following intraperitoneal implantation of porcine dermal collagen prosthesis in the rat. Hernia 9(3):269–276

    Article  PubMed  Google Scholar 

  19. Adedeji OA, Bailey CA, Varma JS (2002) Porcine dermal collagen graft in abdominal-wall reconstruction. Br J Plast Surg 55(1):85–86

    Article  PubMed  CAS  Google Scholar 

  20. Hengirmen S, Cete M, Soran A, Aksoy F, Sencer H, Olcay E (1998) Comparison of meshes for the repair of experimental abdominal wall defects. J Invest Surg 11(5):315–325

    Article  PubMed  CAS  Google Scholar 

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Correspondence to F. Catena.

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Catena, F., Ansaloni, L., Gazzotti, F. et al. Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields. Hernia 11, 57–60 (2007).

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