Ventral abdominal hernias are a common abdominal wall defect in the United States. We present a 50-year-old Caucasian male with a large (>18 cm) abdominal wall defect. An extensive complex abdominal wall reconstruction with advanced bilateral fascial flaps/component separation and repair of the abdominal wall defect was planned to restore the appropriate abdominal wall anatomic contour. The use of double mesh in large abdominal wall defects is still a relatively new documented technique. Only two case series detail the same technique used on this patient, with no articles on using a hybrid mesh with a synthetic absorbable mesh. This case uses an underlay and onlay mesh technique, with a hybrid mesh, Tela Biologics (Malvern, PA, USA), under the muscle, in this case, intraperitoneal bridging the gap. The anterior rectus sheath was reinforced with intercepted 0-Ethibond sutures (Ethicon/J&J, Bridgewater, NJ, USA) and then reinforced with a synthetic absorbable mesh (PhasixTM, Becton Dickinson, Franklin Lakes, NJ). The outcome with this patient shows more research should be conducted on considering long-term results with the types of mesh and the question of whether there are additional benefits when using two different types of mesh and their placement in the sandwich technique.
Prospective repair of Ventral Hernia Working Group type 3 and 4
Anterior Component Separation for Multiple Incisional Hernias
Incisional Hernia Repair By David Ford, 46% OFF
Incisional Hernia Repair By David Ford, 46% OFF
Incisional Hernia Repair By David Ford, 46% OFF
Quality of life measures and cost analysis of biologic versus
Components separation technique” for the repair of large abdominal
s00464 013 2881 Z, PDF, Colorectal Cancer
Incisional Hernia Repair By David Ford, 46% OFF
Materials, Free Full-Text
Plastic Surgery: Volume 4: Trunk and Lower Extremity (Plastic
PDF) Electrospinning for skin tissue engineering and drug-eluting
Component Separation Surgery
Incisional Hernia Repair By David Ford, 46% OFF
Incisional Hernia Repair By David Ford, 46% OFF