TY - JOUR
T1 - Recurrent abdominal laxity following interpositional human acellular dermal matrix
AU - Bluebond-Langner, Rachel
AU - Keifa, Emily S.
AU - Mithani, Suhail
AU - Bochicchio, Grant V.
AU - Scalea, Thomas
AU - Rodriguez, Eduardo D.
PY - 2008/1/1
Y1 - 2008/1/1
N2 - Repair of large complex abdominal hernias with significant loss of domain requires component separation in combination with either a synthetic or biologic interpositional material. We previously described an algorithm for complex abdominal hernia repair, which incorporates Alloderm as an interpositional material and selective use of prolene mesh as an overlay. We now report recurrent laxity in a series of patients who were repaired with interpositional Alloderm alone without prolene mesh overlay. We reviewed all patients who underwent repair of massive ventral hernias and identified 7 patients who presented with abdominal wall laxity following component separation with interpositional Alloderm alone. All patients developed laxity within 12 months and required a secondary procedure. At the time of re-exploration, severe attenuation in the Alloderm was noted. The segment was excised, the edges closed primarily, and prolene mesh was placed as an onlay. Although Alloderm has been reported to be an effective biologic material for abdominal hernia reconstruction, we have noted significant laxity requiring secondary intervention.
AB - Repair of large complex abdominal hernias with significant loss of domain requires component separation in combination with either a synthetic or biologic interpositional material. We previously described an algorithm for complex abdominal hernia repair, which incorporates Alloderm as an interpositional material and selective use of prolene mesh as an overlay. We now report recurrent laxity in a series of patients who were repaired with interpositional Alloderm alone without prolene mesh overlay. We reviewed all patients who underwent repair of massive ventral hernias and identified 7 patients who presented with abdominal wall laxity following component separation with interpositional Alloderm alone. All patients developed laxity within 12 months and required a secondary procedure. At the time of re-exploration, severe attenuation in the Alloderm was noted. The segment was excised, the edges closed primarily, and prolene mesh was placed as an onlay. Although Alloderm has been reported to be an effective biologic material for abdominal hernia reconstruction, we have noted significant laxity requiring secondary intervention.
KW - Alloderm
KW - Laxity
KW - Massive ventral hernia
UR - http://www.scopus.com/inward/record.url?scp=39849093921&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=39849093921&partnerID=8YFLogxK
U2 - 10.1097/SAP.0b013e31804efcbc
DO - 10.1097/SAP.0b013e31804efcbc
M3 - Article
C2 - 18281802
AN - SCOPUS:39849093921
SN - 0148-7043
VL - 60
SP - 76
EP - 80
JO - Annals of plastic surgery
JF - Annals of plastic surgery
IS - 1
ER -