88: Component Separation Technique with Underlay Acellular Dermal Allograft (AtloDerm?) for the Reconstruction of Complex Abdominal Wall Defects

摘要

In patients with ventral hernias, primary fascial approximation results in a 40-50% risk of recurrence. The use of synthetic mesh has decreased recurrence rates to 20-25%, but carries its own subset of risks including infections, fistulas, and other complications often mandating implant removal. The component separation technique (CST) provides a medial mobilization of bilateral musculocutaneous units for closure without prosthetic material and may lower hernia recurrence rates.In this retrospective study, we reviewed our series of patients at the University of Michigan, comparing complex incisional hernias repaired using the CST without a prosthesis or CST with the addition of an underlay acellular dermal allograft (AlloDerm~(TM); LifeCell Corporation, Branchburg, NJ).