ArticleHernia : the journal of hernias and abdominal wall surgery2014
Onlay ventral hernia repairs using porcine non-cross-linked dermal biologic mesh.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Pooled it
- Mesh-reinforced reconstruction after abdominal wall desmoid tumor resection: a retrospective analysis of 16 cases.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Outcomes of Complex Abdominal Wall Reconstruction After Oncologic Resection: 14-Year Experience at an NCI-Designated Cancer Center.Annals of surgical oncology · 2023Article
- Article
- Poly-4-hydroxybutyrate (Phasix™) mesh onlay in complex abdominal wall repair.Surgical endoscopy · 2021Article
- Retrospective analysis of defect reconstruction after abdominal wall tumor resection in 30 patients.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia.Materials (Basel, Switzerland) · 2021Review
- What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?Hernia : the journal of hernias and abdominal wall surgery · 2018Review
- Onlay Technique in Incisional Hernia Repair-A Systematic Review.Frontiers in surgery · 2018Article
- Matrix-Bound Nanovesicles Recapitulate Extracellular Matrix Effects on Macrophage Phenotype.Tissue engineering. Part A · 2017Article
- The extracellular matrix of the gastrointestinal tract: a regenerative medicine platform.Nature reviews. Gastroenterology & hepatology · 2017Review
- Matrix-bound nanovesicles within ECM bioscaffolds.Science advances · 2016Article
- Repair of Postoperative Abdominal Hernia in a Child with Congenital Omphalocele Using Porcine Dermal Matrix.Case reports in medicine · 2016Article
- Complex ventral hernia repair with a human acellular dermal matrix and component separation: A case series.Annals of medicine and surgery (2012) · 2015Article
- Incisional reinforcement in high-risk patients.Clinics in colon and rectal surgery · 2014Review
- Porcine dermis implants in soft-tissue reconstruction: current status.Biologics : targets & therapy · 2014Review
- Outcomes following placement of non-cross-linked porcine-derived acellular dermal matrix in complex ventral hernia repair.International surgeryArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVentral hernias are common and repair with mesh has been shown to reduce recurrence. However, synthetic mesh is associated with a risk of infection. Biologic mesh is an alternative that may be less susceptible to infection. Typically, the sublay position is preferred for mesh placement but this technique takes longer and has not been shown to have a lower recurrence rate than an onlay mesh. The aim of this study was to evaluate the outcome of complex ventral hernia repair using a porcine non-cross-linked biologic mesh onlay.
methodsA retrospective chart review was performed of all patients that had a ventral hernia repair with biologic mesh from January 2009 to March 2012. The operative procedure in all patients was an open repair with primary fascial closure (if possible) with or without external oblique component separation and porcine biologic mesh onlay.
resultsThere were 22 patients that had a ventral hernia repair, 19 primary and 3 recurrent. The majority were men, had hernia grade 3 or 4, and developed the hernia after an esophagectomy or gastrectomy for cancer. All but one had primary closure with a porcine biologic mesh onlay. One patient was bridged for loss of domain. A bilateral external oblique component separation was added in 16 patients (73 %). The median hospital stay was 7 days. There were two superficial wound infections, one with exposed mesh, but no patient required mesh removal. A seroma requiring intervention developed in 6 patients (27 %) and resolved with pig-tail drainage. At a median follow-up of 7 months, there has been no hernia recurrence apart from the patient that was bridged.
conclusionsPorcine non-cross-linked biologic mesh overlay has excellent short-term results in patients at increased risk for mesh infection. No patient required mesh removal, and there have been no recurrent hernias in patients with primary fascial closure. Biologic bridging is not effective for long-term abdominal wall reconstruction.
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