Journal of Trauma and Injury

  • 제25권2호
  • /
  • Pages.63-66
  • /
  • 2012
  • /
  • 2799-4317(pISSN)
  • /
  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

외상성 복벽 탈장 환자에서 biologic mesh를 이용한 치료

A Case of Traumatic Ventral Hernia Repair with a Porcine Dermal Collagen Graft (Permacol)

  • 유병철 (가천대학교 길병원 외상외과) ;
  • 정민 (가천대학교 길병원 외상외과)
  • Yu, Byung Chul (Department of Traumatic Surgery, Gil Hospital, Gachon University) ;
  • Chung, Min (Department of Traumatic Surgery, Gil Hospital, Gachon University)
  • 투고 : 2012.04.13
  • 심사 : 2012.05.29
  • 발행 : 2012.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Resection of the bowel is necessary for the repair of a ventral hernia after recovery from trauma in some cases. In such instances, polyester or polypropylene meshcannot be used due to the possibility of infection; we had to use biological mesh instead. We report a case in which a traumatic hernia was repaired with Permacol (Covidien, Norwalk, CT, USA). A 42-year-old male patient had been injured by a factory machine seven months prior to admission. At that time, he had abdominal wall injury and small bowel perforation. His abdominal wall had been a defect after operation. A CT scan of the abdomen showed that the left abdominal wall, which is lateral to left rectus abdominis muscle had only one muscle layer, an external oblique muscle, and that a previous abdominal incision had a defect along the entire incision. During the exploration, 10 cm of small bowel was removed due to firm adhesion to the previous surgical scar. Permacol mesh was applied and fixed with transfascial fixations and tacks by using the intraperitoneal onlay mesh technique. There were no complications after the surgery and the patient was discharged without any problems.

키워드

참고문헌

  1. Lee JM, Heo TG, Park JH, Park YJ, Lee MS, Kim CN, et al. Abdominal Traumatic Handlebar Hernia. J Korean Surg Soc 2006;71:479-81.
  2. Lane CT, Cohen AJ, Cinat ME. Management of traumatic abdominal wall hernia. Am Surg 2003;69:73-6.
  3. Parker DM, Armstrong PJ, Frizzi JD, North JH, Jr. Porcine dermal collagen (Permacol) for abdominal wall reconstruction. Curr Surg 2006;63:255-8. https://doi.org/10.1016/j.cursur.2006.05.003
  4. Dennis RW, Marshall A, Deshmukh H, Bender JS, Kulvatunyou N, Lees JS, et al. Abdominal wall injuries occurring after blunt trauma: incidence and grading system. Am J Surg 2009;197:413-7. https://doi.org/10.1016/j.amjsurg.2008.11.015
  5. Netto FA, Hamilton P, Rizoli SB, Nascimento B, Jr., Brenneman FD, Tien H, et al. Traumatic abdominal wall hernia: epidemiology and clinical implications. J Trauma 2006;61:1058-61. https://doi.org/10.1097/01.ta.0000240450.12424.59
  6. Brett D, Seybold D, Michalski s, Muhr G. Traumatische Bauchwandhernie nach stumpfem Abdominaltrauma. Unfallchirurg 2008;111:361-4. https://doi.org/10.1007/s00113-007-1370-z
  7. Sall I, El Kaoui H, Bouchentouf SM, Ait Ali A, Bounaim A, Hajjouji A, et al. Delayed repair for traumatic abdominal wall hernia: is it safe? Hernia 2009; 13:447-9. https://doi.org/10.1007/s10029-008-0468-8
  8. Kumar A, Hazrah P, Bal S, Seth A, Parshad R. Traumatic abdominal wall hernia: a reappraisal. Hernia 2004;8:277-80.
  9. Burt BMMD, Afifi HYMD, Wantz GEMD, Barie PSMDMBA. Traumatic Lumbar Hernia: Report of Cases and Comprehensive Review of the Literature. [Review]. Journal of Trauma Injury Infection & Critical Care December 2004;57:1361-70. https://doi.org/10.1097/01.TA.0000145084.25342.9D
  10. Park SY, Chung M. Traumatic abdominal wall herina (TAWH): Repair by using a Prolene Mesh. J Korean Soc Traumatol 2009;22:119-22.
  11. Faro S, Racette C, Lally J, Wills J, Mansoory A. Traumatic lumbar hernia: CT diagnosis. Am J Roentgenol 1990;154:757-9. https://doi.org/10.2214/ajr.154.4.2107671
  12. Bender JS, Dennis RW, Albrecht RM. Traumatic flank hernias: acute and chronic management. The American Journal of Surgery 2008;195:414-7. https://doi.org/10.1016/j.amjsurg.2007.12.004
  13. Atul KM, Craig AT, Karen ES, Pritchard FE, David ST. Laparoscopic Lumbar Hernia Repair. The American Surgeon 2006;72:318.
  14. Chung M. Post-traumatic Lumbar Hernia Repaired with PHS (Prolene Hernia System). J Korean Surg Soc 2009;77:221-4. https://doi.org/10.4174/jkss.2009.77.3.221
  15. Hsu PW, Salgado CJ, Kent K, Finnegan M, Pello M, Simons R, et al. Evaluation of porcine dermal collagen (Permacol) used in abdominal wall reconstruction. J Plast Reconstr Aesthet Surg 2009;62:1484-9. https://doi.org/10.1016/j.bjps.2008.04.060
  16. Brown P. Abdominal Wall Reconstruction Using Biological Tissue Grafts. AORN Journal 2009;90:513-20. https://doi.org/10.1016/j.aorn.2009.05.024
  17. Jarman-Smith ML, Bodamyali T, Stevens C, Howell JA, Horrocks M, Chaudhuri JB. Porcine collagen crosslinking, degradation and its capability for fibroblast adhesion and proliferation. J Mater Sci Mater Med 2004;15:925-32. https://doi.org/10.1023/B:JMSM.0000036281.47596.cc
  18. Catena F, Ansaloni L, Gazzotti F, Gagliardi S, Di Saverio S, D'Alessandro L, et al. Use of porcine dermal collagen graft (Permacol) for hernia repair in contaminated fields. Hernia 2007;11:57-60. https://doi.org/10.1007/s10029-006-0171-6
  19. Hiles M, Record Ritchie RD, Altizer AM. Are biologic grafts effective for hernia repair?: a systematic review of the literature. Surg Innov 2009;16:26-37. https://doi.org/10.1177/1553350609331397