The biological prosthesis is a viable option for abdominal wall reconstruction in pediatric high risk defects
| Autor: | Shannon L. Castle, Osnat Zmora, Stephanie Papillon, James E. Stein |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Adolescent medicine.medical_treatment Risk Assessment Prosthesis Abdominal wall Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine 030225 pediatrics medicine Humans Child Retrospective Studies Bioprosthesis Omphalocele Gastroschisis business.industry Abdominal Wall Infant Newborn Abdominal wall reconstruction Infant Retrospective cohort study General Medicine Surgical Mesh medicine.disease Hernia Ventral Surgery Treatment Outcome Surgical mesh medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Radiology business Risk assessment |
| Zdroj: | The American Journal of Surgery. 214:479-482 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2017.01.004 |
| Popis: | Background Our aim was to explore the indications for and outcome of biological prostheses to repair high risk abdominal wall defects in children. Methods A retrospective chart review was performed of all cases of abdominal wall reconstruction in a single institution between 2007 and 2015. Demographic and clinical variables, technique and complications were described and compared between prosthesis types. Results A total of 23 patients underwent abdominal wall reconstruction using a biological prosthesis including 17 neonates. The main indication was gastroschisis (17 patients) followed by ruptured omphalocele and miscellaneous conditions. Alloderm™ was most commonly used followed by Surgisis™, Strattice™, Flex-HD™ and Permacol™. In 22 cases wounds were contaminated or infected. Open bowel/stomas were present in 9 cases. Skin was not closed in 11 cases. Post-operative complication rate was 30% and hernia recurrence rate was 17% after a mean follow-up time of 16 months. Conclusions The use of a biological prosthesis may offer advantages over a synthetic mesh in pediatric high risk abdominal wall defects. The surgeon should be ready to consider its use in selected cases. |
| Databáze: | OpenAIRE |
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