Journal ArticleDOI
A 5-year clinical experience with single-staged repairs of infected and contaminated abdominal wall defects utilizing biologic mesh.
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TLDR
Despite the high rate of wound morbidity associated with single-staged reconstruction of contaminated fields, it can safely be performed with biologic mesh reinforcement, and the long-term durability seems to be less favorable.Abstract:
Objective:Our objective was to evaluate the safety and durability of biologic mesh for single-staged reconstruction of contaminated fields.Introduction:The presence of contamination during ventral hernia repair (VHR) poses a significant challenge. Some advocate for a multistaged reconstructive approread more
Citations
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Journal ArticleDOI
Outcomes of Synthetic Mesh in Contaminated Ventral Hernia Repairs
TL;DR: Although perhaps not yet considered standard of care in the United States, this work has demonstrated favorable infection, recurrence, and mesh removal rates associated with the use of synthetic mesh in contaminated VHR.
Journal ArticleDOI
Multicenter, Prospective, Longitudinal Study of the Recurrence, Surgical Site Infection, and Quality of Life After Contaminated Ventral Hernia Repair Using Biosynthetic Absorbable Mesh: The COBRA Study.
Michael J. Rosen,Joel J. Bauer,Marco Harmaty,Alfredo M. Carbonell,William S. Cobb,Brent D. Matthews,Matthew I. Goldblatt,Don J. Selzer,Benjamin K. Poulose,Bibi M. E. Hansson,Camiel Rosman,James J. Chao,Garth R. Jacobsen +12 more
TL;DR: In this paper, the authors evaluated biosynthetic absorbable mesh in single-staged contaminated (Centers for Disease Control class II and III) ventral hernia (CVH) repair over 24 months.
Journal ArticleDOI
Naturally derived and synthetic scaffolds for skeletal muscle reconstruction.
Matthew T. Wolf,Christopher L. Dearth,Sonya B. Sonnenberg,Elizabeth G. Loboa,Stephen F. Badylak +4 more
TL;DR: Advances in scaffolds using muscle tissue engineering are reviewed and next generation naturally derived/synthetic "hybrid materials" would combine the advantageous properties of these materials to create an optimal platform for cell/drug delivery and possess inherent bioactive properties.
Journal ArticleDOI
2018 WSES/SIS-E consensus conference: recommendations for the management of skin and soft-tissue infections
Massimo Sartelli,Xavier Guirao,Timothy Craig Hardcastle,Yoram Kluger,Marja A. Boermeester,Kemal Rasa,Luca Ansaloni,Federico Coccolini,Philippe Montravers,Fikri M. Abu-Zidan,Michele Bartoletti,Matteo Bassetti,Offir Ben-Ishay,Walter L. Biffl,Osvaldo Chiara,Massimo Chiarugi,Raul Coimbra,Francesco Giuseppe De Rosa,Belinda De Simone,Salomone Di Saverio,Maddalena Giannella,George Gkiokas,Vladimir Khokha,Francesco M. Labricciosa,Ari Leppäniemi,Andrey Litvin,Ernest E. Moore,Ionut Negoi,Leonardo Pagani,Maddalena Peghin,Edoardo Picetti,Tadeja Pintar,Guntars Pupelis,Ines Rubio-Perez,Boris Sakakushev,Helmut Segovia-Lohse,Gabriele Sganga,Vishal G Shelat,Michael Sugrue,Antonio Tarasconi,Cristian Tranà,Jan Ulrych,Pierluigi Viale,Fausto Catena +43 more
TL;DR: A task force of experts met in Bertinoro, Italy, on June 28, 2018, for a specialist multidisciplinary consensus conference under the auspices of the World Society of Emergency Surgery (WSES) and the Surgical Infection Society Europe (SIS-E).
Journal ArticleDOI
Comparative analysis of biologic versus synthetic mesh outcomes in contaminated hernia repairs
TL;DR: Using synthetic sublay mesh resulted in a significantly lower wound morbidity and more durable outcomes versus a similar cohort of biologic repairs, likely secondary to improved bacterial clearance and faster integration of macroporous synthetics.
References
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Journal ArticleDOI
A Comparison of Suture Repair with Mesh Repair for Incisional Hernia
R W Luijendijk,Wim C. J. Hop,van den Tol Mp,de Lange Dc,Braaksma Mm,Jan N. M. IJzermans,Boelhouwer Ru,de Vries Bc,Salu Mk,Wereldsma Jc,Bruijninckx Cm,J. Jeekel +11 more
TL;DR: Among patients with midline abdominal incisional hernias, mesh repair is superior to suture repair with regard to the recurrence of hernia, regardless of the size of the hernia.
Journal ArticleDOI
“Components Separation” Method for Closure of Abdominal-Wall Defects: An Anatomic and Clinical Study
TL;DR: It is suggested that large abdominal- wall defects can be reconstructed with functional transfer of abdominal-wall components without the need for resorting to distant transposition of free-muscle flaps.
Journal ArticleDOI
Staged Management of Giant Abdominal Wall Defects: Acute and Long-Term Results
T Wright Jernigan,Timothy C. Fabian,Martin A. Croce,Natalie Moore,F. Elizabeth Pritchard,Gayle Minard,Tiffany K. Bee +6 more
TL;DR: The staged management of patients with giant abdominal wall defects without the use of permanent mesh results in a safe and consistent approach for both initial and definitive management with low morbidity and no technique-related mortality.
Journal ArticleDOI
Planned ventral hernia. Staged management for acute abdominal wall defects
Timothy C. Fabian,Martin A. Croce,F E Pritchard,Gayle Minard,William L. Hickerson,Robert D. Howell,Michael Schurr,Kenneth A. Kudsk +7 more
TL;DR: This staged approach was associated with low morbidity and no technique-related mortality, absorbable mesh provided the advantages of reasonable durability, ease of removal, and relatively low cost, and the modified components separation technique of reconstruction provided good results in patients with moderate sized defects.
Journal ArticleDOI
Use of Acellular Dermal Matrix for Complicated Ventral Hernia Repair: Does Technique Affect Outcomes?
Judy Jin,Michael J. Rosen,Jeffrey A. Blatnik,Michael F. McGee,Christina P. Williams,Jeffrey M. Marks,Jeffrey L. Ponsky +6 more
TL;DR: It is demonstrated that the method in which AlloDerm is used in abdominal wall reconstruction has a significant impact on recurrence rates and should be used only as a reinforcement after primary fascial reappoximation.