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The use of a human dura mater allograft for the repair of a contaminated abdominal wall defect: Report of a case
Authors:Masashi Takahashi  Kazuyuki Ono  Ryuji Wakakuwa  Osamu Sato  Yoshiaki Tsuchiya  Gakutaro Kamiya  Kohju Nitta  Kenzo Tajima  Kanji Wada
Affiliation:(1) Departement of Surgery, Nagaoka Red Cross Hospital, 6-1 Nisseki-cho, 940 Nagaoka City, Niigata, Japan;(2) Department of Thoracic and Cardiovascular Surgery, Niigata University, School of Medicine, 1-757 Asahimachi-dori, 951 Niigata City, Niigata, Japan
Abstract:A case report of an infected full-thickness abdominal wall defect treated successfully with a human dura mater allograft is presented. A review of the literature and a discussion of prosthetic abdominal wall repair is also included. A 46-year-old woman presented with multiple small bowel perforations and a large abdominal wall defect due to a motor vehicle collision. A gamma-irradiated human dura mater prosthesis was used to repair the large abdominal wall defect which had been infected by a jejunal fistula. After more than 4 years of follow-up, the patient is free of complications, including wound infection, herniation, and ileus. The human dura mater allograft is thus considered to be a useful prosthesis for repairing potentially infected wounds.
Keywords:human dura mater allograft  abdominal wall defect  wound infection
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