J Korean Surg Soc.  2009 Sep;77(3):216-220. 10.4174/jkss.2009.77.3.216.

Experience with Porcine Acellular Dermal Collagen (Permacol(R)) Implant in Contaminated Fascia Defects

Affiliations
  • 1Department of Surgery, KyungHee University School of Medicine, Seoul, Korea. isaac34@korea.com

Abstract

Reconstruction of the fascia defect, especially complicated one is challenging problem. We report our experiences of porcine acellular dermal collagen (Permacol(R)) in contaminated fascia defects. Three patients with contaminated fascia defect were reconstructed using Permacol(R). Permacol(R) was fixed to fascia with 2-0 polypropylene sutures and at least 2 cm of the implant was allowed to overlap the defect. Types of fascia defect consisted of large parastomal hernia in rectal cancer patients, multiple enterocutaneous fistulas in Crohn's disease and evisceration due to surgical site infection. Postoperative complication was 1 case of graft infection in a Crohn's disease patient, but infection was controlled using antibiotics.

Keyword

Permacol(R); Fascia defect; Reconstruction

MeSH Terms

Anti-Bacterial Agents
Collagen
Crohn Disease
Fascia
Hernia
Humans
Intestinal Fistula
Polypropylenes
Postoperative Complications
Rectal Neoplasms
Sutures
Transplants
Anti-Bacterial Agents
Collagen
Polypropylenes
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