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Complex ventral hernia repair with a human acellular dermal matrix and component separation: A case series.


ABSTRACT:

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We present a case series of 19 patients requiring complex abdominal hernia repairs. Patients presented with challenging clinical histories with 95% having multiple significant comorbidities including overweight or obesity (84%), hypertension (53%), diabetes (42%), cancer (26%), and pulmonary disease (16%). The majority of patients (68%) had prior abdominal infections and 53% had at least one failed prior hernia repair. Upon examination, fascial defects averaged 282 cm(2). Anterior and posterior component separation was performed with placement of a human acellular dermal mesh. Midline abdominal closure under minimal tension was achieved primarily in all cases. Post-operative complications included 2 adverse events (11%) - one pulmonary embolism and one post-operative hem

SUBMITTER: Garcia A 

PROVIDER: S-EPMC4539183 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature