Restoring abdominal wall integrity in contaminated tissue-deficient wounds using autologous fascia grafts

Plastic and Reconstructive Surgery
Joseph J DisaSheri Slezak

Abstract

Necrotizing abdominal wall infections, enteric fistulae, or exposed prosthetic material after ventral hernia repair often results in a loss of abdominal wall integrity. Further surgical reconstruction with prosthetic material is usually contraindicated in the contaminated wound because of the high infection rate necessitating prosthetic removal and further abdominal wall debridement. Consequently, for the past 9 years, we have been using free grafts of autologous fascia lata to replace deficient abdominal wall fascia and muscle in situations where prosthetic material is contraindicated and local tissue rearrangement (i.e., component separation) would be inadequate. Thirty-two patients (mean age 59 years) underwent abdominal wall reconstruction with autologous fascia lata grafts. Indications included exposed mesh (31 percent), enteric fistulae (28 percent), enteric contamination (22 percent), wound infection (13 percent), and immunosuppression alone (6 percent); 31 percent of all patients were immunosuppressed secondary to either a solid organ transplant or a systemic inflammatory disorder. Fascia grafts (mean size 10 x 17 cm) were sutured to the surrounding abdominal wall and covered by local skin flap advancement and/or myocut...Continue Reading

References

Apr 1, 1975·Plastic and Reconstructive Surgery·R G BrownM J Jurkiewicz
Oct 1, 1977·British Journal of Plastic Surgery·S J Mathes, J Bostwick
Feb 1, 1979·Plastic and Reconstructive Surgery·J BostwickF Nahai
Sep 1, 1990·Plastic and Reconstructive Surgery·O M RamirezA L Dellon
May 1, 1986·American Journal of Surgery·S M GreensteinH Alexander
Jun 1, 1988·Plastic and Reconstructive Surgery·G C HoustonK S Given
Jun 1, 1969·American Journal of Ophthalmology·J S Crawford
Mar 1, 1983·Plastic and Reconstructive Surgery·H H Caffee
Mar 1, 1962·Archives of Surgery·F C USHER

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Citations

Jun 9, 2004·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R P SilvermanN H Goldberg
May 25, 2005·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Edward N LiNelson H Goldberg
Jan 28, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S Z MaJ Hu
Sep 14, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A A WinklerR P Silverman
Jul 26, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S YegiyantsM A Abbas
Jul 10, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Katsuyuki AsaiTeruhisa Kazui
Feb 2, 2013·Seminars in Plastic Surgery·Lior HellerAmy Shengnan Xue
Jan 8, 2000·Plastic and Reconstructive Surgery·R J RohrichP C Hobar
Dec 29, 2000·Plastic and Reconstructive Surgery·J A GirottoP N Manson
Feb 1, 2003·Plastic and Reconstructive Surgery·Omer SensözCihat Baran
Mar 7, 2003·Plastic and Reconstructive Surgery·James B LoweJaime R Garza
Feb 6, 2004·Plastic and Reconstructive Surgery·Ronald P SilvermanNelson H Goldberg
Aug 1, 2009·Plastic and Reconstructive Surgery·Chin-Ho WongJen-Feng Fang
Jan 15, 2010·Plastic and Reconstructive Surgery·Samuel J Lin, Charles E Butler
Nov 3, 2010·Plastic and Reconstructive Surgery·Ahmad F BhattiAntonio Orlando
Jan 1, 2011·BMJ Case Reports·Frederick WangDeepak Narayan
Apr 5, 2012·Polski przeglad chirurgiczny·Lubomir Lembas, Józef Jethon
Jan 30, 2010·World Journal of Surgery·Mostafa MehrabiHadi Kahrom
Feb 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sathnur B PushpakumarJohn H Barker
Sep 21, 2011·Journal of Pediatric Surgery·Akihide SugiyamaNaoto Urushihara
Jun 24, 2010·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·A LoganathanK R Wedgwood
Oct 9, 2009·American Journal of Surgery·Jonathan N LimpertDella L Aridge
Oct 14, 2008·Surgery·Raymond CandageR Lawrence Reed
Apr 28, 2006·Clinics in Plastic Surgery·Charles E Butler
Apr 28, 2006·Clinics in Plastic Surgery·James B Lowe
Apr 28, 2006·Clinics in Plastic Surgery·Roshini Gopinathan, Mark Granick
Feb 27, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K GemiciS Sentürk
Sep 17, 2014·The Journal of Small Animal Practice·A de BattistiE Friend
Feb 3, 2005·Current Problems in Surgery·Edmund J RutherfordKaren J Brasel
Mar 31, 2009·Current Problems in Surgery·Myles R Joyce, David W Dietz
May 12, 2009·American Journal of Surgery·Bohdan Pomahac, Pejman Aflaki
Jun 19, 2008·American Journal of Surgery·Samuel M Maurice, Dionne A Skeete

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