Use of a porcine dermal collagen implant for contaminated abdominal wall reconstruction in a 105-year-old woman: a case report and review of the literature

Abstract

IntroductionRepair of contaminated abdominal wall defect in a geriatric patient is a challenge for the surgeon. We present the case of the oldest patient (105-years old) to successfully undergo a single-stage repair of a contaminated abdominal wall defect with a Permacol™ implant.Case presentationA 105-year-old Caucasian woman presented to our emergency room with a clinical and radiological diagnosis of small bowel obstruction due to prior operative adhesions. She underwent laparotomy with small bowel resection and primary closure of her abdomen. There was total eventration of her bowel through the suture line 9 days after surgery. She underwent a second laparotomy that revealed no signs of peritonitis or turbid fluid. Her abdomen was closed with a 15×10cm Permacol™ implant sutured sublay with prolene sutures. Her postoperative period was unremarkable. After a follow-up period of 3 years and 2 months, there was no sign of recurrent hernia or wound contamination.ConclusionWe suggest that Permacol™ mesh can be considered an efficient alternative to primary closure or synthetic mesh in geriatric patients with contaminated abdominal wall defects.

Successful treatment of an open tibial fracture in a 102-year-old woman: a case report

“…The medical evaluation for patients with advanced ages should focus on identifying risk factors, optimizing status, predicting complications, and providing appropriate information. Some studies have described cases of surgery in patients aged >100 years, for example, coronary bypass surgery in a 105-year-old patient 3) , abdominal wall reconstruction in a 105-year-old patient 4) , and osteosynthesis for hip fracture in a 107-year-old patient 5) . They reported that in each case, detailed risk assessment, surgical planning, and meticulous postoperative management were the reasons for the successful surgical treatment [3][4][5] .…”