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Laparoscopic repair of potentially contaminated abdominal ventral hernias using a xenograft: A case series

Abstract:

Background: The aim of this study was to describe the preliminary experience of definitive single stage laparoscopic reconstruction of the abdominal wall utilizing a tissue matrix in a potentially contaminated surgical field. Method: Retrospective review of potentially contaminated ventral hernias repaired with a minimally invasive technique utilizing biological mesh. Reconstruction required the laparoscopic restoration of the midline with or without a minimally invasive component separation technique and reinforcement with a xenograft (Strattice™ Reconstructive Tissue Matrix, LifeCell, Branchburg, NJ). Results: We describe the first three cases of a xenograft placed laparoscopically in a potentially contaminated ventral hernia. There were no mesh-related complications or early recurrences during short-term 6 month follow-up. Conclusion: Strattice™ Reconstructive Tissue Matrix appears to be a promising new biological matrix for laparoscopic ventral hernia repair, especially in potentially contaminated fields. Further studies and long-term follow-up are still required. © 2010 Springer-Verlag.