Department of Surgery, University of Calgary, Canada.
Injury. 2010 Sep;41(9):970-3. doi: 10.1016/j.injury.2010.01.099. Epub 2010 Feb 23.
Managing complex abdominal wall injuries acutely or at the time of reconstruction is challenging. Contaminated surgical fields, devitalized tissue, intestinal fistula and tissues under tension contribute to clinical scenarios where closure is not possible or morbidity is unacceptable. The introduction of an absorbable extracellular matrix derived from porcine small intestinal submucosa (Surgisis) adds a potentially useful tool to the surgeon's armamentarium. A retrospective case series of the initial experience in 5 patients with complex abdominal wall injury following trauma managed with Surgisis is described. A review of the literature describing the use of Surgisis in contaminated fields is also performed.
急性或重建时处理复杂的腹壁损伤具有挑战性。污染的手术部位、失活的组织、肠瘘和张力下的组织导致了临床情况下无法进行闭合或出现不可接受的发病率。一种来源于猪小肠黏膜下层的可吸收细胞外基质（Surgisis）的引入为外科医生的武器库增加了一个潜在有用的工具。描述了 5 例创伤后复杂腹壁损伤患者使用 Surgisis 治疗的初步经验的回顾性病例系列。还对描述 Surgisis 在污染区域使用的文献进行了回顾。
