Abdominoplasty with Mesh Reinforcement

Horndeski, Gary; Gonzalez, Elisa

doi:10.1097/prs.0b013e3181e60611

Plastic and Reconstructive Surgery

2010

DOI: 10.1097/prs.0b013e3181e60611

|View full text |Cite

Abdominoplasty with Mesh Reinforcement

Gary Horndeski¹,

Elisa Gonzalez²

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2011

2014

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the benefits of mesh for hernia repair and AWR are well established, the combination of synthetic or bioprosthetic mesh and fascial plication for cosmetic abdominoplasty has been described only in limited case reports. 18 – 20 In patients with significant musculofascial laxity or atrophic fascia with or without a history of significant weight loss, suture plication alone may produce additional fascial stretching and tearing. Radiologic evaluation of anterior rectus sheath plication with suture alone has demonstrated a durability of about 6 months.…”

mentioning

confidence: 99%

Clinical Application of a Silk Fibroin Protein Biologic Scaffold for Abdominal Wall Fascial Reinforcement

Clemens

Downey

Agullo

et al. 2014

Plastic and Reconstructive Surgery Global Open

View full text Add to dashboard Cite

Background:Preclinical studies have demonstrated that macroporous silk fibroin protein scaffolds are capable of promoting physiologically durable supportive tissue, which favors application of these engineered tissues for clinical implantation. The safety and effectiveness of a long-lasting, transitory, 510(k)-cleared purified silk fibroin biologic scaffold (SBS) are investigated for soft-tissue support and repair of the abdominal wall.Methods:We conducted a multicenter retrospective review of all consecutive patients who underwent abdominal wall soft-tissue reinforcement with an SBS device between 2011 and 2013. Indications, comorbid conditions, surgical technique, complications, and outcomes were evaluated.Results:We reviewed the records of 172 consecutive patients who received an SBS for soft-tissue support. Of those, 77 patients underwent abdominal wall fascial repair, with a mean follow-up of 18.4 ± 7.5 months. Procedures using an SBS included reinforcement of an abdominal-based flap donor site (31.2%), ventral hernia repair (53.2%), and abdominoplasty (15.6%). The overall complication rate was 6.5%, consisting of 2 wound dehiscences, 1 with device exposure, 1 seroma, 1 infection with explantation, and a perioperative bulge requiring reoperation. There were no reports of hernia.Conclusions:Postoperative complication rates after 18 months were low, and most surgical complications were managed nonoperatively on an outpatient basis without mesh removal. To our knowledge, this is the only series to report on a long-lasting, transitory SBS for abdominal wall repair and reinforcement. Procedure-specific outcome studies are warranted to delineate optimal patient selection and define potential device characteristic advantages.

show abstract