Abstract: P4HB: The Ideal Mesh for Complex Abdominal Wall Reconstruction?
نویسندگان
چکیده
While a plethora of techniques are available for ventral hernia repair (VHR), these may fall short in the face of chronic near-total loss of abdominal domain. The Wittmann patch (Star Surgical, Burlington, WI) has been described in the literature as an acute method of maintaining abdominal wall integrity with planned re-laparotomy. However, we demonstrate that it is also an effective adjunct to traditional methods of abdominal wall reconstruction (AWR) in the management of chronic loss of abdominal domain.
منابع مشابه
Characterization of the Mechanical Strength, Resorption Properties, and Histologic Characteristics of a Fully Absorbable Material (Poly-4-hydroxybutyrate—PHASIX Mesh) in a Porcine Model of Hernia Repair
Purpose. Poly-4-hydroxybutyrate (P4HB) is a naturally derived, absorbable polymer. P4HB has been manufactured into PHASIX Mesh and P4HB Plug designs for soft tissue repair. The objective of this study was to evaluate mechanical strength, resorption properties, and histologic characteristics in a porcine model. Methods. Bilateral defects were created in the abdominal wall of n = 20 Yucatan minip...
متن کاملBioprosthetic mesh in abdominal wall reconstruction.
Mesh materials have undergone a considerable evolution over the last several decades. There has been enhancement of biomechanical properties, improvement in manufacturing processes, and development of antiadhesive laminate synthetic meshes. The evolution of bioprosthetic mesh materials has markedly changed our indications and methods for complex abdominal wall reconstruction. The authors review...
متن کاملAbdominal Wall Reconstruction Using Retrorectus Self-adhering Mesh: A Novel Approach
BACKGROUND In abdominal wall reconstruction, the retrorectus plane offers an ideal location for mesh placement. Mesh fixation in this plane is often achieved using transfascial sutures, which risks entrapping intercostal nerves and causing significant pain, and takes time to place. A novel alternative is the use of sutureless self-adhering mesh. Although the use of this mesh in inguinal hernias...
متن کاملPoly-4-hydroxybutyrate (p4hb) Surgical Mesh for Hernia Repair
INTRODUCTION The most common cause of abdominal surgery is abdominal wall hernia defects [1]. Each year, there are approximately twenty million hernia repair surgeries performed worldwide, of which almost 700,000 surgeries are performed in America [2]. While the anatomy of this highly prevalent disease is well-known, recurrence of hernias and post-surgical complications such as chronic pain, in...
متن کاملAbstract 120: Implant-Based Breast Reconstruction and the Timing of Adjuvant Radiotherapy: A Systematic Review and Meta-Analysis of Surgical Outcomes
CONCLUSIONS: These data show biosynthetic P4HB mesh to be a safe alternative to ADM in expander-based breast reconstruction, with trends toward decreased rates of infection and need for device removal using P4HB mesh. There was also a trend toward decreased infection rates in P4HB patients that were not radiated. Although our results are limited to a small series of initial patients, P4HB porou...
متن کامل