Single-center 10-year experience in the management of anterior abdominal wall defects

• Published in: Hernia : the journal of hernias and abdominal wall surgery Vol. 12; no. 4; pp. 345 - 350
• Main Authors: Rahn, S., Bahr, M., Schalamon, J., Saxena, A. K.
• Format: Journal Article
• Language: English
• Published: Paris Springer-Verlag 01.08.2008; Springer Nature B.V
• Subjects: Abdominal Surgery; Abdominal Wall - abnormalities; Abdominal Wall - surgery; Biocompatible Materials; Female; Follow-Up Studies; Gastroschisis - etiology; Gastroschisis - surgery; Hernia, Umbilical - etiology; Hernia, Umbilical - surgery; Humans; Infant, Newborn; Male; Medicine; Medicine & Public Health; Original Article; Polytetrafluoroethylene; Prosthesis Implantation - instrumentation; Retrospective Studies; Surgical Mesh; Time Factors; Treatment Outcome; Gastroschisis; Omphalocele; Goretex; Morbidity; Biomaterials
• ISSN: 1265-4906; 1248-9204
• DOI: 10.1007/s10029-008-0336-6

Background Anterior abdominal wall defects can be managed with various techniques, since no one technique can be applied to all types of defects. The aim of this study is to present a single-center experience using biomaterials and evaluate the outcomes. Methods The clinical data obtained from 33 neonates (24 gastroschisis and 9 omphaloceles) managed for anterior abdominal wall defects at a single center from 1995 until 2005 were evaluated. Results Primary skin closure of the defect was possible in 22 (67%) cases; however, 4 of 22 (12%) required an inner patch. In seven (21%), two patches were employed. The grafts used were: seven (22%) Goretex, four (12%) dura and one (3%) bovine pericard. Conclusion In our single-center experience, both synthetic (Goretex patches) and natural biomaterials (dura and bovine patches) were found to be alternatives to manage these defects. The advantages and disadvantages of the alternatives are presented.