Luigi D'Ambra, Stefano Berti, Cosimo Feleppa, Prospero Magistrelli, Pierfrancesco Bonfante, Emilio Falco, Department of Surgery, S. Andrea Hospital, 19100 La Spezia, Italy.
World J Gastrointest Surg. 2012 Jul 27;4(7):171-6. doi: 10.4240/wjgs.v4.i7.171.
To employ, in such conditions, a biological graft such as bovine pericardium that offers resistance to infection.
In our surgical department, from January 2006 to June 2010, 48 patients underwent abdominal wall reconstruction using acellular bovine pericardium; of these 34 patients had a contaminated wound due to diffuse peritonitis (complicated diverticulitis, bowel perforation, intestinal infarction, strangled hernia, etc.) and 14 patients had hernia relapse on infected synthetic mesh.
In our series, one patient died of multi-organ failure 3 d after surgery. After placement of the pericardium mesh four cases of hernia relapse occurred.
Recurrence rate is similar to that of prosthetic mesh repair and the application of acellular bovine pericardium (Tutomesh(®), Tutogen Medical Gmbh Germany) is moreover a safe and feasible option that can be employed to manage complicated abdominal wall defects where prosthetic mesh is unsuitable.
在这些条件下，使用牛心包等生物移植物来提供抗感染能力。
在我们的外科部门，从 2006 年 1 月至 2010 年 6 月，48 例患者接受了去细胞牛心包的腹壁重建；其中 34 例患者由于弥漫性腹膜炎（复杂憩室炎、肠穿孔、肠梗死、绞窄性疝等）导致污染性伤口，14 例患者因感染性合成网片而出现疝复发。
在我们的系列中，1 例患者在手术后 3 天死于多器官衰竭。心包网片放置后，有 4 例疝复发。
复发率与假体网片修复相似，使用去细胞牛心包（Tutomesh ® ，德国 Tutogen Medical GmbH）是一种安全可行的选择，可用于治疗假体网片不适用的复杂腹壁缺损。
