Porcine acellular dermal matrix for delayed abdominal wall closure after pediatric liver transplantation

Children are one of the groups with the highest mortality rate on the waiting list for LT. Primary closure of the abdominal wall is often impossible in the pediatric population, due to a size mismatch between a large graft and a small recipient. We present a retrospective cohort study of six pediatr...

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Published in:Pediatric transplantation 2014-09, Vol.18 (6), p.594-598
Main Authors: Caso Maestro, O., Abradelo de Usera, M., Justo Alonso, I., Calvo Pulido, J., Manrique Municio, A., Cambra Molero, F., García Sesma, A., Loinaz Segurola, C., Moreno González, E., Jiménez Romero, C.
Format: Article
Language:English
Subjects:
Abdominal Wall - surgery
Acellular Dermis
Animals
Child, Preschool
hernia
Humans
Infant
Liver Transplantation
Male
partial liver grafts
pediatric transplantation
Retrospective Studies
Surgical Mesh
Swine
Treatment Outcome
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cited_by cdi_FETCH-LOGICAL-c3679-1d4ac6f708720e3ef741019eb68fa343794cfd122fd8fb4db5a41f1a89b1ca93
cites cdi_FETCH-LOGICAL-c3679-1d4ac6f708720e3ef741019eb68fa343794cfd122fd8fb4db5a41f1a89b1ca93
container_end_page 598
container_issue 6
container_start_page 594
container_title Pediatric transplantation
container_volume 18
creator Caso Maestro, O.
Abradelo de Usera, M.
Justo Alonso, I.
Calvo Pulido, J.
Manrique Municio, A.
Cambra Molero, F.
García Sesma, A.
Loinaz Segurola, C.
Moreno González, E.
Jiménez Romero, C.
description Children are one of the groups with the highest mortality rate on the waiting list for LT. Primary closure of the abdominal wall is often impossible in the pediatric population, due to a size mismatch between a large graft and a small recipient. We present a retrospective cohort study of six pediatric patients, who underwent delayed abdominal wall closure with a biological mesh after LT, and in whom early closure was impossible. A non‐cross‐linked porcine‐derived acellular dermal matrix (Strattice™ Reconstructive Tissue Matrix; LifeCell Corp, Bridgewater, NJ, USA) was used in all of the cases of the series. After a mean follow‐up of 26 months (21–32 months), all patients were asymptomatic, with a functional abdominal wall after physical examination. Non‐cross‐linked porcine‐derived acellular dermal matrix (Strattice™) is a good alternative for delayed abdominal wall closure after pediatric LT. Randomized controlled trials are necessary to determine the best moment and the best technique for abdominal wall closure.
doi_str_mv 10.1111/petr.12319
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Primary closure of the abdominal wall is often impossible in the pediatric population, due to a size mismatch between a large graft and a small recipient. We present a retrospective cohort study of six pediatric patients, who underwent delayed abdominal wall closure with a biological mesh after LT, and in whom early closure was impossible. A non‐cross‐linked porcine‐derived acellular dermal matrix (Strattice™ Reconstructive Tissue Matrix; LifeCell Corp, Bridgewater, NJ, USA) was used in all of the cases of the series. After a mean follow‐up of 26 months (21–32 months), all patients were asymptomatic, with a functional abdominal wall after physical examination. Non‐cross‐linked porcine‐derived acellular dermal matrix (Strattice™) is a good alternative for delayed abdominal wall closure after pediatric LT. 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Primary closure of the abdominal wall is often impossible in the pediatric population, due to a size mismatch between a large graft and a small recipient. We present a retrospective cohort study of six pediatric patients, who underwent delayed abdominal wall closure with a biological mesh after LT, and in whom early closure was impossible. A non‐cross‐linked porcine‐derived acellular dermal matrix (Strattice™ Reconstructive Tissue Matrix; LifeCell Corp, Bridgewater, NJ, USA) was used in all of the cases of the series. After a mean follow‐up of 26 months (21–32 months), all patients were asymptomatic, with a functional abdominal wall after physical examination. Non‐cross‐linked porcine‐derived acellular dermal matrix (Strattice™) is a good alternative for delayed abdominal wall closure after pediatric LT. 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source Wiley-Blackwell Journals
subjects Abdominal Wall - surgery
Acellular Dermis
Animals
Child, Preschool
hernia
Humans
Infant
Liver Transplantation
Male
partial liver grafts
pediatric transplantation
Retrospective Studies
Surgical Mesh
Swine
Treatment Outcome
title Porcine acellular dermal matrix for delayed abdominal wall closure after pediatric liver transplantation
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