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Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix
INTRODUCTION: Complex hernias continue to present a challenge. Surgical techniques for repair are carefully considered to reduce risk for complications. Laparoscopic repairs improve postoperative infection rates, and placement of biologic mesh decreases mesh infection rates. However, laparoscopic re...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elsevier
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276323/ https://www.ncbi.nlm.nih.gov/pubmed/25437666 http://dx.doi.org/10.1016/j.ijscr.2014.11.007 |
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author | Tsuda, Shawn |
author_facet | Tsuda, Shawn |
author_sort | Tsuda, Shawn |
collection | PubMed |
description | INTRODUCTION: Complex hernias continue to present a challenge. Surgical techniques for repair are carefully considered to reduce risk for complications. Laparoscopic repairs improve postoperative infection rates, and placement of biologic mesh decreases mesh infection rates. However, laparoscopic repairs using biologic mesh is generally challenging due to difficulty with maneuverability. PRESENTATION OF CASE: We present a case of a complex ventral hernia that was laparoscopically repaired using a new FDA cleared laparoscopic biologic graft. The patient had multiple comorbidities, including obesity, hepatitis C, endocarditis secondary to IV drug use, tobacco smoking, bilateral inguinal hernia, and recurrent umbilical hernia. The recurrent hernia was larger, irreducible, and discolored compared to original defect. The patient underwent laparoscopic repair with primary closure and reinforcement with Strattice™ Tissue Matrix Laparoscopic (LifeCell Corporation, Branchburg, NJ). At nine months postoperative, the patient had no evidence of recurrence, infection, or chronic pain, demonstrating early success from the surgical management. DISCUSSION: Presence of multiple comorbidities and incarcerated recurrent hernia increase risk for complications during and/or after hernia repair. Considering these factors, laparoscopic repair with Strattice Laparoscopic and defect closure was a reasonable technique for repair. CONCLUSION: Laparoscopic suture repair reinforced with biologic dermal tissue matrix was successfully performed during a complex hernia repair. |
format | Online Article Text |
id | pubmed-4276323 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-42763232014-12-28 Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix Tsuda, Shawn Int J Surg Case Rep Article INTRODUCTION: Complex hernias continue to present a challenge. Surgical techniques for repair are carefully considered to reduce risk for complications. Laparoscopic repairs improve postoperative infection rates, and placement of biologic mesh decreases mesh infection rates. However, laparoscopic repairs using biologic mesh is generally challenging due to difficulty with maneuverability. PRESENTATION OF CASE: We present a case of a complex ventral hernia that was laparoscopically repaired using a new FDA cleared laparoscopic biologic graft. The patient had multiple comorbidities, including obesity, hepatitis C, endocarditis secondary to IV drug use, tobacco smoking, bilateral inguinal hernia, and recurrent umbilical hernia. The recurrent hernia was larger, irreducible, and discolored compared to original defect. The patient underwent laparoscopic repair with primary closure and reinforcement with Strattice™ Tissue Matrix Laparoscopic (LifeCell Corporation, Branchburg, NJ). At nine months postoperative, the patient had no evidence of recurrence, infection, or chronic pain, demonstrating early success from the surgical management. DISCUSSION: Presence of multiple comorbidities and incarcerated recurrent hernia increase risk for complications during and/or after hernia repair. Considering these factors, laparoscopic repair with Strattice Laparoscopic and defect closure was a reasonable technique for repair. CONCLUSION: Laparoscopic suture repair reinforced with biologic dermal tissue matrix was successfully performed during a complex hernia repair. Elsevier 2014-11-11 /pmc/articles/PMC4276323/ /pubmed/25437666 http://dx.doi.org/10.1016/j.ijscr.2014.11.007 Text en © 2014 The Author http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Article Tsuda, Shawn Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix |
title | Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix |
title_full | Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix |
title_fullStr | Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix |
title_full_unstemmed | Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix |
title_short | Laparoscopic repair of complicated umbilical hernia with Strattice Laparoscopic™ reconstructive tissue matrix |
title_sort | laparoscopic repair of complicated umbilical hernia with strattice laparoscopic™ reconstructive tissue matrix |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276323/ https://www.ncbi.nlm.nih.gov/pubmed/25437666 http://dx.doi.org/10.1016/j.ijscr.2014.11.007 |
work_keys_str_mv | AT tsudashawn laparoscopicrepairofcomplicatedumbilicalherniawithstratticelaparoscopicreconstructivetissuematrix |