Experience with Porcine Acellular Dermal Collagen Mesh (Permacol™ Surgical Implant) in Chest Wall Reconstruction after Resection for Rib Osteomyelitis
| Autor: | Claudia Hannele Mazzetti, Alexis Therasse, Patrick Carlier, Jean Lemaitre |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Open Journal of Thoracic Surgery. :26-29 |
| ISSN: | 2164-3067 2164-3059 |
| DOI: | 10.4236/ojts.2015.52006 |
| Popis: | Chest wall reconstruction after rib resection is essential to ensuring chest wall stability, avoiding flail chest and pulmonary hernia, and improving pulmonary function. Traditionally, a synthetic mesh and a musculocutaneous flap have been used to bridge the chest wall defect. However, a risk of secondary prosthesis infection exists. Acellular dermal collagen mesh implants (Permacol™) are indicated for the reconstruction and reformation of human soft connective tissue. A case of a complex chest wall reconstruction after rib resection for osteomyelitis due to staphylococcus aureus infection in a malnourished, immunosuppressed, and methadone-addicted patient is presented. The patient underwent a left posterolateral thoracotomy and chest wall resection, involving three ribs and the soft tissues overlying an infected cutaneous fistula. The chest wall was reconstructed using a 28 × 18 cm piece of porcine sterile acellular dermal collagen mesh. A successful chest wall repair was achieved with no incisional herniation and with complete mesh incorporation, allowing physiologic respiratory movements. A typical wound seroma developed and resorbed over the following months. There was no infection. In conclusion, this case report suggests that Permacol™ surgical implant can be used successfully as an alternative to synthetic mesh in reconstruction of an infected chest wall. |
| Databáze: | OpenAIRE |
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