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Published on: October 2, 2017
Repair of Postoperative Abdominal Hernia in a Child with Congenital Omphalocele Using Porcine Dermal Matrix
V Lambropoulos1, E Mylona2, V Mouravas1
1Pediatric Surgery Clinic, General Hospital Papageorgiou, Ring Road N. Efkarpia, 56429 Thessaloniki, Greece.
Insights
This study highlights the successful use of porcine dermal mesh to repair large ventral hernias in children following abdominal wall reconstruction. This method effectively prevents hernia recurrence in pediatric patients.
Area of Science:
- Pediatric Surgery
- Regenerative Medicine
- Biomaterials
Background:
- Incisional hernias are frequent complications after abdominal wall reconstruction, particularly in children with omphalocele or gastroschisis.
- Surgical repair of these defects presents challenges, with various techniques and prosthetic materials employed.
Purpose of the Study:
- To evaluate the efficacy of acellular, sterile, porcine dermal mesh in repairing a complex ventral hernia post-omphalocele reconstruction.
- To assess the suitability of this biomaterial for abdominal wall defect repair in pediatric cases.
Main Methods:
- Case report detailing the surgical repair of a postoperative ventral hernia in a pediatric patient.
- Utilized a non-cross-linked acellular porcine dermal matrix for abdominal wall reconstruction.
Main Results:
- Successful repair of a large ventral hernia in a three-and-a-half-year-old child.
- The porcine dermal mesh facilitated effective abdominal wall reconstruction.
Conclusions:
- Non-cross-linked acellular porcine dermal matrix is a suitable biomaterial for reconstructing abdominal wall defects.
- This mesh effectively manages complications like large ventral hernias and prevents recurrence in pediatric surgery.
Abstract:
Introduction. Incisional hernias are a common complication appearing after abdominal wall defects reconstruction, with omphalocele and gastroschisis being the most common etiologies in children. Abdominal closure of these defects represents a real challenge for pediatric surgeons with many surgical techniques and various prosthetic materials being used for this purpose. Case Report. We present a case of repair of a postoperative ventral hernia occurring after congenital omphalocele reconstruction in a three-and-a-half-year-old child using an acellular, sterile, porcine dermal mesh. Conclusion. Non-cross-linked acellular porcine dermal matrix is an appropriate mesh used for the reconstruction of abdominal wall defects and their postoperative complications like large ventral hernias with success and preventing their recurrence.
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