Evidence map›Paper›PMID 26688300›Full record

ReviewInternational wound journal2016

Porcine acellular dermal matrix (PADM) vascularises after exposure in open necrotic wounds seen after complex hernia repair.

Arvind U Gowda, Sarah M Chang, Karan Chopra, Jamil A Matthews, Jennifer Sabino, Jeffrey A Stromberg, Hamid R Zahiri, Joel Pinczewski, Luther H Holton, Ronald P Silverman and 1 more

Abstract readCase ReportsReview
In one paragraph

Review in International wound journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Arvind U GowdaDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Sarah M ChangDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Karan ChopraDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Jamil A MatthewsDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Jennifer SabinoDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Jeffrey A StrombergDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Hamid R ZahiriDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Joel PinczewskiDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Luther H HoltonDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Ronald P SilvermanDivision of Plastic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Devinder P SinghDivision of Plastic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA. Dsingh@aahs.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biological alternatives to synthetic meshes are increasingly utilised in complex abdominal wall reconstruction. There is a lack of evidence demonstrating that non-cross-linked porcine acellular dermal matrix vascularizes and integrates with human tissue in suboptimal wound conditions. We aimed to evaluate these properties in Strattice™ (Life Cell Inc., Branchburg, NJ) following ventral hernia repair. A retrospective review of patients with high-risk ventral hernia repair utilising Strattice™ as an onlay after open component separation was conducted. Patients with postoperative wound exploration and exposure of the onlay were included in this review. One patient underwent punch biopsy for histological analysis. Eleven patients with wound complications necessitating postoperative debridement and exposure of Strattice™ onlay were identified. The onlay was partially debrided in two cases, and one case required complete excision. Vascularisation was clinically evident in 10 of 11 cases (91%) as demonstrated by the presence of granulation tissue and/or the ability to support a skin graft. Histological analysis of one onlay 3 months postoperatively showed neovascularisation and collagen remodelling with minimal inflammatory response. Strattice™ demonstrated resistance to rejection, ability to undergo vascularisation and incorporation into host tissues in sub-optimal wound conditions following ventral hernia repair.

Indexed as

Abdominal WallAbdominal Wound Closure TechniquesAcellular DermisAdultAgedAnimalsFemaleHernia, VentralHerniorrhaphyHumansMaleMiddle AgedNecrosisPostoperative ComplicationsRetrospective StudiesSurgical MeshAbdominal wallComponents separationHerniaPorcine acellular dermal matrixStrattice

Identifiers

PMID26688300
PMCPMC7949820

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.