XXXX using component separation technique paired with intraperitoneal acellular porcine dermis and synthetic mesh overlay.

@entity1 @entity2080 @entity281 @entity547 @entity4037
Repairing complicated, recurrent @entity4037 poses many challenges and frustrations for both the @entity1 and the surgeon. @entity1 with histories of multiple abdominal procedures, @entity281 , and previous @entity547 repair are at higher risk for recurrence. They must be dealt with through a more sophisticated approach than the @entity1 presenting with an initial @entity547 or even a simple recurrence. We describe our experience with 18 @entity1 using component separation technique paired with acellular porcine dermis. We specifically focus on the use of intraperitoneal biologic mesh paired with a synthetic overlay. There were no @entity547 recurrences during the follow-up period: average 14 months (range, 4-24 months, 100% follow-up). Complications included @entity2080 , wound breakdown, and @entity281 ; several of these requiring reoperation. The successful management of complicated @entity547 has been revolutionized by new synthetic and bioprosthetic meshes. However, these products, when used alone in complex @entity547 @entity1 carry a higher recurrence rate. We have found that these meshes, used in conjunction with component separation technique, have had no recurrence to date, but are prone to complications.
