A Case of Traumatic Ventral Hernia Repair with a Porcine Dermal Collagen Graft (Permacol)

Yu,  Byung Chul; Chung,  Min

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Case Report

Journal of the Korean Society of Traumatology 2012;25(2):63-66.

A Case of Traumatic Ventral Hernia Repair with a Porcine Dermal Collagen Graft (Permacol)

Byung Chul Yu, Min Chung

Department of Traumatic Surgery, Gil Hospital, Gachon University, Korea. mc@gilhospital.com

외상성 복벽 탈장 환자에서 biologic mesh를 이용한 치료

유병철∙정 민

가천대학교 길병원 외상외과

Received: 13 April 2012 • Revised: 9 May 2012 • Accepted: 29 May 2012

Abstract

Resection of the bowel is necessary for the repair of a ventral hernia after recovery from trauma in some cases. In such instances, polyester or polypropylene meshcannot be used due to the possibility of infection; we had to use biological mesh instead. We report a case in which a traumatic hernia was repaired with Permacol (Covidien, Norwalk, CT, USA). A 42-year-old male patient had been injured by a factory machine seven months prior to admission. At that time, he had abdominal wall injury and small bowel perforation. His abdominal wall had been a defect after operation. A CT scan of the abdomen showed that the left abdominal wall, which is lateral to left rectus abdominis muscle had only one muscle layer, an external oblique muscle, and that a previous abdominal incision had a defect along the entire incision. During the exploration, 10 cm of small bowel was removed due to firm adhesion to the previous surgical scar. Permacol mesh was applied and fixed with transfascial fixations and tacks by using the intraperitoneal onlay mesh technique. There were no complications after the surgery and the patient was discharged without any problems.

Key Words: Biological mesh; Permacol; Ventral hernia repair; Traumatic hernia

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