General Surgery and Senology, Department of Surgery, Policlinico-Vittorio Emanuele Hospital, University of Catania Medical School, Via S. Sofia 78, 95123 Catania, Italy.
World J Gastroenterol. 2010 Apr 21;16(15):1928-33. doi: 10.3748/wjg.v16.i15.1928.
Abdominal wall defects and incisional hernias represent a challenging problem. In particular, when a synthetic mesh is applied to contaminated wounds, its removal is required in 50%-90% of cases. Biosynthetic meshes are the newest tool available to surgeons and they could have a role in ventral hernia repair in a potentially contaminated field. We describe the use of a sheet of bovine pericardium graft in the reconstruction of abdominal wall defect in two patients. Bovine pericardium graft was placed in the retrorectus space and secured to the anterior abdominal wall using polypropylene sutures in a tension-free manner. We experienced no evidence of recurrence at 4 and 5 years follow-up.
腹壁缺损和切口疝是一个具有挑战性的问题。特别是当在污染伤口应用合成补片时，其在 50%-90%的情况下需要取出。生物合成补片是外科医生最新可用的工具，它们在潜在污染的领域中可能在腹疝修补中发挥作用。我们描述了在两名患者中使用牛心包片移植物来重建腹壁缺损的情况。牛心包片移植物被放置在后腹膜间隙中，并使用聚丙烯缝线以无张力的方式固定在前腹壁上。我们在 4 年和 5 年的随访中没有发现复发的证据。
