Recurrent intestinal fistulation after porcine acellular dermal matrix reinforcement in enteric fistula takedown and simultaneous abdominal wall reconstruction r.Kalaiselvan1 · g.L.Carlson1 · s.Hayes1 · n.P.Lees1 · i.D.Anderson1 · d.A.J.Slade1 springer-verlag france sas, part of springer nature 2019 published online: 06 december 2019.(b)(4).If information is provided in the future, a supplemental report will be issued.
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Pli10 - according to literature source of study to assess the mechanism for failure of porcine acellular dermal matrix (padm) in intestinal and abdominal wall reconstruction (awr) for enterocutaneous fistulation (ecf), thirteen patients were included in the study and device was used as a reinforcing prosthetic in abdominal wall repair.In all cases, porcine acellular dermal matrix had been used to bridge the defect and placed in direct contact with bowel.Twelve of the thirteen patients had developed abdominal wall defects (awd) and ecf following complications of previous surgery.Some of the patients underwent fistula takedown and awr with padm, of which five refistulated while some of the patients referred to us had already undergone similar procedures in their referring hospitals and had also refistulated.At reconstructive surgery for refistulation, porcine acellular dermal matrix was inseparable from multiple segments of small intestine, necessitating extensive bowel resection.Histological examination confirmed that the padm almost completely integrated with the seromuscular layer of the small intestine.
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