Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: a case series
M W Parra1, E B Rodas, A A Niravel
1Department of Surgery, Broward General Medical Center/Level I Trauma Center, NOVA Southeastern University School of Medicine, 1600 S. Andrews Avenue, Fort Lauderdale, Fl 33316, USA. michaelwparra@yahoo.com
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 (Strattice™ 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:
Strattice™ 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.
