Repair of high-risk incisional XXXX and traumatic abdominal wall defects with porcine mesh.

@entity1 @entity4037 @entity547
@entity4037 represent a significant challenge to surgeons. We hypothesized that a wide underlay technique in combination with a novel biologic mesh would result in repair with a low recurrence rate. Medical records of @entity1 undergoing ventral herniorrhaphy with XenMatrix biologic mesh were evaluated. All @entity1 were evaluated for @entity547 immediately and after 2 to 3 years. There were 57 @entity1 included in the study. The overall recurrence rate was 7.2 per cent; however, all recurrences were early and were likely technical failures. The average duration of follow-up was 30.6 months with no further recurrences after the early technical failures. The average number of previous recurrences was 1.5. Fascial closure was obtained over the mesh in 84 per cent of @entity1 , with component separation being necessary in 36 per cent of @entity1 . Lack of fascial reapproximation over the mesh was associated with early recurrence (0 vs 55%, P < 0.0001). @entity4037 can be repaired with a low recurrence rate. Our technique in combination with the XenMatrix biologic mesh provides for durable repair. Whenever possible, the fascia should be closed above the underlay mesh, because this technique provides a more durable repair than using the mesh as a "fascial bridge".
