“…However despite intensive testing, the lack of compliance/strength of the resulting tissue, as well as the absence of an endothelial lining, resulted in unacceptably high rates of thrombosis, dilatation and aneurysm (Conte, 1998). More recently, our laboratory and others have used the peritoneal cavity as a 'bioreactor' to produce autologous tissue for replacement/repair of arteries (Campbell et al, 1999Chue et al, 2004) and other hollow smooth muscle organs, specifically bladder, uterus, vas deferens and urethra (Gu et al, 2009). De Visscher and co-workers used a similar technique to pre-seed acellular matrix scaffolds from bovine pericardium for use as tissue engineered heart valves (De Visscher et al, 2007, 2008Vranken et al, 2008) while Hayashida et al (2007) reported satisfactory function and mechanical properties for 'biovalves' prepared by embedding synthetic scaffolds subcutaneously for 4 weeks.…”