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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(01): 217712352023rbcp0798pt
DOI: 10.5935/2177-1235.2023RBCP0798-PT
Artigo Original

Abdominal wall repair with acellular bovine pericardial membranes - Part I - Clinical and radiological findings

Article in several languages: português | English
LUIZ FERNANDO FRASCINO 
1   Hospital do Coração de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
2   Sociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
,
FERNANDA RIBEIRO FUNES LORENZZATO 
2   Sociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
3   Hospital Estadual João Paulo II, São José do Rio Preto, SP, Brasil.
,
HAMILTON LUIZ FUNES 
2   Sociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
3   Hospital Estadual João Paulo II, São José do Rio Preto, SP, Brasil.
,
JONAS DIAS DE CAMPOS SEVERI
1   Hospital do Coração de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
2   Sociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
3   Hospital Estadual João Paulo II, São José do Rio Preto, SP, Brasil.
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▪ ABSTRACT

Introduction:

Reducing recurrence rates significantly, the use of biomaterials as “reinforcement meshes” in the repair of different abdominal wall defects has become an almost mandatory routine for the success of these repairs. From the 1990s onwards, acellular biological matrices were introduced, thus beginning a new era in the repair of abdominal wall defects. The objective is to evaluate the functionality of the acellularized bovine pericardium in abdominal wall repairs.

Method:

Thirty patients underwent repair of abdominal wall defects using acellular bovine pericardium bioprostheses, making a total of 40 anatomically individualized implants. The average follow-up was 31 months, with patients being evaluated clinically and radiologically. In three cases, biopsies were taken from the implanted areas, allowing histological analysis of the material.

Results:

No recurrence of herniations was observed in any of the cases, both clinically and radiologically. There were also no records of bruises, infections or any phenomenon of a local or systemic reaction nature. Radiologically, it was not possible to visualize the matrices at the implantation site in any of the postoperative periods analyzed.

Conclusion:

The matrices showed similarity to other biological membranes described in the international literature. Representing an important update and conceptual evolution, acellular bovine pericardial membranes can be incorporated into the therapeutic arsenal in abdominal wall repairs.

Keywords:

Prostheses and implants - Hernia, abdominal - Surgical mesh - Extracellular matrix - Abdominal wall - Bioprosthesis - Pericardium

Institution: Hospital Estadual João Paulo II, Sociedade Portuguesa de Beneficência de São José do Rio Preto, Hospital do Coração de São José do Rio Preto, São José do Rio Preto, SP, Brazil.




Publication History

Received: 14 March 2023

Accepted: 23 October 2023

Article published online:
20 May 2025

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
LUIZ FERNANDO FRASCINO, FERNANDA RIBEIRO FUNES LORENZZATO, HAMILTON LUIZ FUNES, JONAS DIAS DE CAMPOS SEVERI. Reparação da parede abdominal com membranas acelulares de pericárdio bovino - Parte I - Achados clínicos e radiológicos. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352023rbcp0798pt.
DOI: 10.5935/2177-1235.2023RBCP0798-PT
 

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