Abstract
Background
The aim of this study was to describe the preliminary experience of definitive single stage laparoscopic reconstruction of the abdominal wall utilizing a tissue matrix in a potentially contaminated surgical field.
Method
Retrospective review of potentially contaminated ventral hernias repaired with a minimally invasive technique utilizing biological mesh. Reconstruction required the laparoscopic restoration of the midline with or without a minimally invasive component separation technique and reinforcement with a xenograft (Strattice™ Reconstructive Tissue Matrix, LifeCell, Branchburg, NJ).
Results
We describe the first three cases of a xenograft placed laparoscopically in a potentially contaminated ventral hernia. There were no mesh-related complications or early recurrences during short-term 6 month follow-up.
Conclusion
Strattice™ Reconstructive Tissue Matrix appears to be a promising new biological matrix for laparoscopic ventral hernia repair, especially in potentially contaminated fields. Further studies and long-term follow-up are still required.
References
Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years experience with 850 consecutive hernias. Ann Surg 238(3):391–400
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:S24–S29
Gray SH, Hawn MT, Itani KMF (2008) Surgical progress in inguinal and ventral incisional hernia repair. Surg Clin North Am 88(1):17–26
Franklin ME Jr, Trevino JM, Portillo G, Vela I, Glass JL, Gonzalez JJ (2008) The use of porcine small intestinal submucosa as a prosthetic material for laparoscopic hernia repair in infected and potentially contaminated fields: long-term follow-up. Surg Endosc 22:1941–1946
Diaz JJ, Guy J, Berkes MB, Guillamondegui O, Miller RS (2006) Acellular dermal allograft for ventral hernia repair in the compromised surgical field. Am Surg 72:1181–1188
Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554
Rives J, Pire JC, Flament JB, Palot JP, Body C (1985) Treatment of large eventrations. New therapeutic indications apropos of 322 cases. Chirurgie 111:215–225
Wantz GE (1989) Giant prosthetic reinforcement of the visceral sac. Surg Gynecol Obstet 169:408–417
Blatnick J, Jin J, Rosen M (2008) Abdominal hernia repair with bridging acellular dermal matrix—an expensive hernia sac. Am J Surg 196(1):47–50
Hiles M, Ritchie RD, Altizer AM (2009) Are biologic grafts effective for hernia repair? Surg Innov 16(1):26–37
LifeCell Corporation (2009) Strattice™ Reconstructive Tissue Matrix. http://www.lifecell.com/strattice-reconstructive -tissue-matrix/. Accessed 20 Oct 2009
Jin J, Rosen M, Blatnik J (2007) Use of acellular dermal matrix for complicated ventral hernia repair: does technique affect outcomes? J Am Coll Surg 205(5):654–660
Itani K, Hur K, Kim L (2010) Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: a randomized trial. Arch Surg 145(4):322–328
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Parra, M.W., Rodas, E.B. & Niravel, A.A. Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series. Hernia 15, 575–578 (2011). https://doi.org/10.1007/s10029-010-0687-7
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DOI: https://doi.org/10.1007/s10029-010-0687-7