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Recurrent abdominal laxity following interpositional human acellular dermal matrix.

Publication ,  Journal Article
Bluebond-Langner, R; Keifa, ES; Mithani, S; Bochicchio, GV; Scalea, T; Rodriguez, ED
Published in: Ann Plast Surg
January 2008

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.

Duke Scholars

Published In

Ann Plast Surg

DOI

ISSN

0148-7043

Publication Date

January 2008

Volume

60

Issue

1

Start / End Page

76 / 80

Location

United States

Related Subject Headings

  • Surgical Mesh
  • Surgery
  • Skin, Artificial
  • Reoperation
  • Recurrence
  • Plastic Surgery Procedures
  • Middle Aged
  • Male
  • Humans
  • Hernia, Ventral
 

Citation

APA
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ICMJE
MLA
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Bluebond-Langner, R., Keifa, E. S., Mithani, S., Bochicchio, G. V., Scalea, T., & Rodriguez, E. D. (2008). Recurrent abdominal laxity following interpositional human acellular dermal matrix. Ann Plast Surg, 60(1), 76–80. https://doi.org/10.1097/SAP.0b013e31804efcbc
Bluebond-Langner, Rachel, Emily S. Keifa, Suhail Mithani, Grant V. Bochicchio, Thomas Scalea, and Eduardo D. Rodriguez. “Recurrent abdominal laxity following interpositional human acellular dermal matrix.Ann Plast Surg 60, no. 1 (January 2008): 76–80. https://doi.org/10.1097/SAP.0b013e31804efcbc.
Bluebond-Langner R, Keifa ES, Mithani S, Bochicchio GV, Scalea T, Rodriguez ED. Recurrent abdominal laxity following interpositional human acellular dermal matrix. Ann Plast Surg. 2008 Jan;60(1):76–80.
Bluebond-Langner, Rachel, et al. “Recurrent abdominal laxity following interpositional human acellular dermal matrix.Ann Plast Surg, vol. 60, no. 1, Jan. 2008, pp. 76–80. Pubmed, doi:10.1097/SAP.0b013e31804efcbc.
Bluebond-Langner R, Keifa ES, Mithani S, Bochicchio GV, Scalea T, Rodriguez ED. Recurrent abdominal laxity following interpositional human acellular dermal matrix. Ann Plast Surg. 2008 Jan;60(1):76–80.

Published In

Ann Plast Surg

DOI

ISSN

0148-7043

Publication Date

January 2008

Volume

60

Issue

1

Start / End Page

76 / 80

Location

United States

Related Subject Headings

  • Surgical Mesh
  • Surgery
  • Skin, Artificial
  • Reoperation
  • Recurrence
  • Plastic Surgery Procedures
  • Middle Aged
  • Male
  • Humans
  • Hernia, Ventral