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AORN journal2009; 90(4); 513-524; doi: 10.1016/j.aorn.2009.05.024

Abdominal wall reconstruction using biological tissue grafts.

Abstract: Synthetic mesh products have been used to repair abdominal wall defects (eg, hernias) for many years. Biological mesh products are now available as an option when synthetic mesh products are not appropriate. To correctly prepare biological tissue grafts for use in the OR, perioperative nurses must understand the types of grafts available. Biological tissue grafts may be harvested from human, porcine, bovine, or equine hosts and from skin, pericardium, or small intestine submucosa.
Publication Date: 2009-10-29 PubMed ID: 19860033DOI: 10.1016/j.aorn.2009.05.024Google Scholar: Lookup
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Summary

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The research article is about the use of biological tissue grafts for reconstructing the abdominal wall, especially when synthetic mesh products are not suitable. It discusses different types of grafts, their sources, and the important role of perioperative nurses in their preparation.

Need for Biological Tissue Grafts

  • The study focuses on a new method of repairing abdominal wall defects, such as hernias, where synthetic mesh products may not be appropriate. This is important because, despite the widespread usage of synthetic mesh products for many years, they have limitations and do not suit all cases.
  • These limitations created a need for alternative solutions, leading to the development of a method that uses biological tissue grafts. These grafts offer versatility as they may be harvested from a variety of sources such as humans, pigs, cows, horses, and from various tissues such as skin, the lining of the heart (pericardium), or the innermost layer of the small intestine (submucosa).

Role of Perioperative Nurses

  • The research emphasizes the role of perioperative nurses in this procedure. Their understanding of different types of grafts available and how to prepare them for use in the operating room (OR) is vital.
  • The nurses’ understanding of grafts involves knowledge of their suitability for different patients or scenarios, preparation methods, storage, and application techniques, which ultimately influence the success of the surgical procedure.

Implications of the Study

  • The study implies that training and educating nurses on the novel procedure of using biological tissue grafts is essential. This training includes knowledge of graft types, preparation techniques, applications, and possible complications.
  • The introduction of biological grafts could lead to a significant breakthrough in abdominal wall reconstruction surgeries, offering a promising alternative to synthetic mesh products.

Cite This Article

APA
Brown P. (2009). Abdominal wall reconstruction using biological tissue grafts. AORN J, 90(4), 513-524. https://doi.org/10.1016/j.aorn.2009.05.024

Publication

ISSN: 0001-2092
NlmUniqueID: 0372403
Country: United States
Language: English
Volume: 90
Issue: 4
Pages: 513-524

Researcher Affiliations

Brown, Patricia
  • Covidien, Mansfield, MA, USA.

MeSH Terms

  • Biocompatible Materials
  • Collagen / therapeutic use
  • Hernia, Ventral / nursing
  • Hernia, Ventral / surgery
  • Humans
  • Patient Care Planning
  • Patient Education as Topic
  • Plastic Surgery Procedures / nursing

Citations

This article has been cited 6 times.
  1. Saiding Q, Chen Y, Wang J, Pereira CL, Sarmento B, Cui W, Chen X. Abdominal wall hernia repair: from prosthetic meshes to smart materials. Mater Today Bio 2023 Aug;21:100691.
    doi: 10.1016/j.mtbio.2023.100691pubmed: 37455815google scholar: lookup
  2. Liang L, Liu M, Sun W. A deep learning approach to estimate chemically-treated collagenous tissue nonlinear anisotropic stress-strain responses from microscopy images. Acta Biomater 2017 Nov;63:227-235.
    doi: 10.1016/j.actbio.2017.09.025pubmed: 28939354google scholar: lookup
  3. Rastegarpour A, Cheung M, Vardhan M, Ibrahim MM, Butler CE, Levinson H. Surgical mesh for ventral incisional hernia repairs: Understanding mesh design. Plast Surg (Oakv) 2016 Spring;24(1):41-50.
  4. Illingworth E, Rooney PS, Heath R, Chandrasekar CR. The use of a biological graft for the closure of large abdominal wall defects following excision of soft tissue tumours. J Surg Case Rep 2015 Jun 24;2015(6).
    doi: 10.1093/jscr/rjv063pubmed: 26109681google scholar: lookup
  5. Petter-Puchner AH, Fortelny RH, Silic K, Brand J, Gruber-Blum S, Redl H. Biologic hernia implants in experimental intraperitoneal onlay mesh plasty repair: the impact of proprietary collagen processing methods and fibrin sealant application on tissue integration. Surg Endosc 2011 Oct;25(10):3245-52.
    doi: 10.1007/s00464-011-1700-7pubmed: 21533522google scholar: lookup
  6. Chang CC, Boland ED, Williams SK, Hoying JB. Direct-write bioprinting three-dimensional biohybrid systems for future regenerative therapies. J Biomed Mater Res B Appl Biomater 2011 Jul;98(1):160-70.
    doi: 10.1002/jbm.b.31831pubmed: 21504055google scholar: lookup