Use of a porcine dermal collagen implant for contaminated abdominal wall reconstruction in a 105-year-old woman: A case report and review of the literature

Idit Melnik, Dimitry Goldstein, Boris Yoffe

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Repair of contaminated abdominal wall defect in a geriatric patient is a challenge for the surgeon. We present the case of the oldest patient (105-years old) to successfully undergo a single-stage repair of a contaminated abdominal wall defect with a Permacol™ implant. Case presentation: A 105-year-old Caucasian woman presented to our emergency room with a clinical and radiological diagnosis of small bowel obstruction due to prior operative adhesions. She underwent laparotomy with small bowel resection and primary closure of her abdomen. There was total eventration of her bowel through the suture line 9 days after surgery. She underwent a second laparotomy that revealed no signs of peritonitis or turbid fluid. Her abdomen was closed with a 15×10cm Permacol™ implant sutured sublay with prolene sutures. Her postoperative period was unremarkable. After a follow-up period of 3 years and 2 months, there was no sign of recurrent hernia or wound contamination. Conclusion: We suggest that Permacol™ mesh can be considered an efficient alternative to primary closure or synthetic mesh in geriatric patients with contaminated abdominal wall defects.

Original languageEnglish
Article number95
JournalJournal of Medical Case Reports
Volume9
Issue number1
DOIs
StatePublished - 29 Apr 2015
Externally publishedYes

Keywords

  • Abdominal wall reconstruction
  • Contaminated fields
  • Geriatrics
  • Permacol™
  • Porcine dermis

ASJC Scopus subject areas

  • General Medicine

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