Immediate, multistaged approach to infected synthetic mesh outcomes after abdominal wall reconstruction with porcine acellular dermal matrix

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

Research output: Contribution to journalArticlepeer-review

Abstract

Infection of synthetic mesh after abdominal wall hernia repair is a complex problem. The purpose of this study was to determine whether a staged approach to abdominal wall reconstruction (AWR) using a porcine acellular dermal matrix (PADM) is beneficial in the setting of infected synthetic mesh. Methods: The authors performed a retrospective review of 27 patients who underwent immediate, staged complex AWR using PADM from 2007 to 2012. Results: After a component separation, primary fascial closure was achieved in 21/27 (78%) patients, whereas 6/22 (22%) received a bridged hernia repair with PADM. Wound-related complications developed in 7/27 (26%) patients including wound dehiscence 6/27 (22%), surgical site infection 5/27 (19%), and hematoma 1/27 (4%). The hernia recurrence rate observed by 32 months was 19%. A bridged hernia repair and the development of a postoperative infection were associated with hernia recurrence, P < 0.05. Conclusions: A 2-stage approach to AWR with PADM can provide a safe and effective solution for patients with infected synthetic mesh.

Original languageEnglish (US)
Pages (from-to)629-633
Number of pages5
JournalAnnals of plastic surgery
Volume75
Issue number6
DOIs
StatePublished - Jan 1 2015

Keywords

  • Abdominal wall reconstruction
  • Infected mesh

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Immediate, multistaged approach to infected synthetic mesh outcomes after abdominal wall reconstruction with porcine acellular dermal matrix'. Together they form a unique fingerprint.

Cite this