Critical analysis of Strattice performance in complex abdominal wall reconstruction: Intermediate-risk patients and early complications

Ketan M. Patel, Frank P. Albino, Maurice Y. Nahabedian, Parag Bhanot

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study was to analyze the performance of a porcine-derived acellular dermal matrix (Strattice Reconstructive Tissue Matrix) in patients at increased risk for perioperative complications. We reviewed medical records for patients with complex abdominal wall reconstruction (AWR) and Strattice underlay from 2007 to 2010. Intermediate-risk patients were defined as having multiple comorbidities without abdominal infection. Forty-one patients met the inclusion criteria (mean age, 60 years; mean body mass index, 35.5 kg/m2). Comorbidities included coronary artery disease (63.4%), diabetes mellitus (36.6%), and chronic obstructive pulmonary disease (17.1%). Fascial closure was achieved in 40 patients (97.6%). Average hospitalization was 6.4 days (range, 1-24 days). Complications included seroma (7.3%), wound dehiscence with Strattice exposure (4.9%), cellulitis (2.4%), and hematoma (2.4%). All patients achieved abdominal wall closure with no recurrent hernias or need for Strattice removal. Patients with multiple comorbidities at intermediate risk of postoperative complications can achieve successful, safe AWR with Strattice.

Original languageEnglish (US)
Pages (from-to)379-384
Number of pages6
JournalInternational surgery
Volume98
Issue number4
DOIs
StatePublished - 2013
Externally publishedYes

Keywords

  • Abdominal wall reconstruction
  • Acellular dermal matrix
  • Comorbidities
  • Herniorrhaphy
  • Strattice

ASJC Scopus subject areas

  • Surgery

Fingerprint

Dive into the research topics of 'Critical analysis of Strattice performance in complex abdominal wall reconstruction: Intermediate-risk patients and early complications'. Together they form a unique fingerprint.

Cite this