Page 322 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials
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Chapter 16
was performed in order to reconstruct the abdominal wall. Finally in 2008, the defect was closed in with two (sutured together) collagen-coated polyester meshes of 20*30cm (Parietex Composite®, Covidien, France). A coated mesh was implanted since contact with the visceral organs was inevitable with the loss of abdominal wall and bridging position of the mesh. The soft tissue defect was repaired at the sides of the hernia with skin obtained by using multiple tissue expanders. The soft tissue defect was covered with a free vascularized latissimus dorsi ap with large full thickness skin graft ( gure 1).
Four years after the nal repair the patient returned to the outpatient department with progressive swelling of the right lower abdomen ( gure 2).
Figure 1. Abdominal wall after four-staged repair with Parietex Composite® mesh and latissimus dorsi ap (2008).
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