Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series

Parra, M.; Rodas, E.; Niravel, A.
October 2011
Hernia;Oct2011, Vol. 15 Issue 5, p575
Academic Journal
Background: The aim of this study was to describe the preliminary experience of definitive single stage laparoscopic reconstruction of the abdominal wall utilizing a tissue matrix in a potentially contaminated surgical field. Method: Retrospective review of potentially contaminated ventral hernias repaired with a minimally invasive technique utilizing biological mesh. Reconstruction required the laparoscopic restoration of the midline with or without a minimally invasive component separation technique and reinforcement with a xenograft (Stratticeâ„¢ Reconstructive Tissue Matrix, LifeCell, Branchburg, NJ). Results: We describe the first three cases of a xenograft placed laparoscopically in a potentially contaminated ventral hernia. There were no mesh-related complications or early recurrences during short-term 6 month follow-up. Conclusion: Stratticeâ„¢ Reconstructive Tissue Matrix appears to be a promising new biological matrix for laparoscopic ventral hernia repair, especially in potentially contaminated fields. Further studies and long-term follow-up are still required.


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