The use of Permacol for the reconstruction of a complex thoraco-abdominal wall defect from a recurrent leiomyosarcoma

Anthony Echo, Leo R. Otake, John R. Talley, Thomas Satterwhite, Jeffrey A. Norton, Gordon K. Lee

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Complex thoraco-abdominal wall defects following tumor resection create a unique reconstructive challenge, which centers on anatomically re-establishing the thoracic and abdominal compartments to prevent visceral herniation. Autologous tissue may not be available or adequate to reconstruct these defects; therefore, the use of alternative options, such as non-autologous material, is often necessary. To our knowledge, very little has been described about the use of biologic mesh for the reconstruction of large thoracic defects. We present a review of the literature and present a novel approach to address a difficult defect with the use of cross-linked porcine dermal collagen (Permacol) to bridge a thoraco-abdominal defect while stabilizing the diaphragm. Level of Evidence: Level V, therapeutic study.

Original languageEnglish (US)
Pages (from-to)457-462
Number of pages6
JournalEuropean Journal of Plastic Surgery
Volume36
Issue number7
DOIs
StatePublished - Jul 2013

Keywords

  • Abdominal reconstruction
  • Chest wall reconstruction
  • Diaphragm stabilization
  • Permacol
  • Porcine xenograft
  • Thoraco-abdominal reconstruction

ASJC Scopus subject areas

  • Surgery

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