Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings

Introduction: Reducing recurrence rates significantly, the use of biomaterials as “reinforcement meshes” in the repair of different abdominal wall defects has become an almost mandatory routine for the success of these repairs. From the 1990s onwards, acellular biological matrices were introduced, t...

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Main Authors: Luiz Fernando Frascino, Fernanda Ribeiro Funes Lorenzzato, Hamilton Luiz Funes, Jonas Dias de Campos Severi
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2024-02-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/3407/1983-5175-rbcp-39-01-e0798-en.pdf
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author Luiz Fernando Frascino
Fernanda Ribeiro Funes Lorenzzato
Hamilton Luiz Funes
Jonas Dias de Campos Severi
author_facet Luiz Fernando Frascino
Fernanda Ribeiro Funes Lorenzzato
Hamilton Luiz Funes
Jonas Dias de Campos Severi
author_sort Luiz Fernando Frascino
collection DOAJ
description Introduction: Reducing recurrence rates significantly, the use of biomaterials as “reinforcement meshes” in the repair of different abdominal wall defects has become an almost mandatory routine for the success of these repairs. From the 1990s onwards, acellular biological matrices were introduced, thus beginning a new era in the repair of abdominal wall defects. The objective is to evaluate the functionality of the acellularized bovine pericardium in abdominal wall repairs. Method: Thirty patients underwent repair of abdominal wall defects using acellular bovine pericardium bioprostheses, making a total of 40 anatomically individualized implants. The average follow-up was 31 months, with patients being evaluated clinically and radiologically. In three cases, biopsies were taken from the implanted areas, allowing histological analysis of the material. Results: No recurrence of herniations was observed in any of the cases, both clinically and radiologically. There were also no records of bruises, infections or any phenomenon of a local or systemic reaction nature. Radiologically, it was not possible to visualize the matrices at the implantation site in any of the postoperative periods analyzed. Conclusion: The matrices showed similarity to other biological membranes described in the international literature. Representing an important update and conceptual evolution, acellular bovine pericardial membranes can be incorporated into the therapeutic arsenal in abdominal wall repairs.
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spelling doaj.art-65d12f6c198d4e39a349e12dac9949f52024-02-07T14:18:09ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352024-02-0139110.5935/2177-1235.2023RBCP0798-ENAbdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findingsLuiz Fernando Frascino0Fernanda Ribeiro Funes Lorenzzato1Hamilton Luiz Funes2Jonas Dias de Campos Severi3Hospital do Coração de São José do Rio Preto, São José do Rio Preto, SP, BrazilSociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, SP, BrazilSociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, SP, BrazilHospital do Coração de São José do Rio Preto, São José do Rio Preto, SP, BrazilIntroduction: Reducing recurrence rates significantly, the use of biomaterials as “reinforcement meshes” in the repair of different abdominal wall defects has become an almost mandatory routine for the success of these repairs. From the 1990s onwards, acellular biological matrices were introduced, thus beginning a new era in the repair of abdominal wall defects. The objective is to evaluate the functionality of the acellularized bovine pericardium in abdominal wall repairs. Method: Thirty patients underwent repair of abdominal wall defects using acellular bovine pericardium bioprostheses, making a total of 40 anatomically individualized implants. The average follow-up was 31 months, with patients being evaluated clinically and radiologically. In three cases, biopsies were taken from the implanted areas, allowing histological analysis of the material. Results: No recurrence of herniations was observed in any of the cases, both clinically and radiologically. There were also no records of bruises, infections or any phenomenon of a local or systemic reaction nature. Radiologically, it was not possible to visualize the matrices at the implantation site in any of the postoperative periods analyzed. Conclusion: The matrices showed similarity to other biological membranes described in the international literature. Representing an important update and conceptual evolution, acellular bovine pericardial membranes can be incorporated into the therapeutic arsenal in abdominal wall repairs.http://www.rbcp.org.br/export-pdf/3407/1983-5175-rbcp-39-01-e0798-en.pdfprostheses and implantsherniaabdominalsurgical meshextracellular matrixabdominal wallbioprosthesispericardium
spellingShingle Luiz Fernando Frascino
Fernanda Ribeiro Funes Lorenzzato
Hamilton Luiz Funes
Jonas Dias de Campos Severi
Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings
Revista Brasileira de Cirurgia Plástica
prostheses and implants
hernia
abdominal
surgical mesh
extracellular matrix
abdominal wall
bioprosthesis
pericardium
title Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings
title_full Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings
title_fullStr Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings
title_full_unstemmed Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings
title_short Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings
title_sort abdominal wall repair with acellular bovine pericardial membranes part i clinical and radiological findings
topic prostheses and implants
hernia
abdominal
surgical mesh
extracellular matrix
abdominal wall
bioprosthesis
pericardium
url http://www.rbcp.org.br/export-pdf/3407/1983-5175-rbcp-39-01-e0798-en.pdf
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