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SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®

SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®

SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®

Product catalog summary
Surgeon Profile: Dr. Eugene C. Hsiao is a highly qualified surgeon with extensive training in general, plastic, reconstructive, and hand surgery. He has been involved in numerous research projects and provides a wide range of plastic surgery services.
Patient Presentation: A 62-year-old female with a ventral incisional hernia and a history of multiple abdominal surgeries. The patient required anticoagulation due to atrial fibrillation.
Treatment Options: The patient was advised to undergo a component separation reinforced with a biologic mesh, specifically SurgiMend, to minimize infection risks associated with synthetic mesh and to allow for fascial edge approximation.
Surgical Procedure: The procedure involved minimally invasive component separation, preserving rectus perforators to maintain skin and tissue vascularity. SurgiMend was used to reinforce the repair, and the patient received post-operative care including analgesia and prophylactic antibiotics.
Clinical Outcome: The patient was discharged three days post-surgery with no recurrence observed at six months follow-up.
Discussion: The use of SurgiMend in combination with component separation reduces the risk of recurrent hernia and wound complications compared to synthetic mesh. Minimally invasive techniques offer additional benefits such as cost savings and reduced wound healing issues.
SurgiMend Product Information: SurgiMend is an acellular dermal matrix derived from bovine dermis, used for reinforcing soft tissue. It is indicated for various types of hernia repairs and plastic surgeries. The product comes with specific contraindications and precautions, including avoiding use in patients with collagen hypersensitivity and ensuring proper handling to prevent damage.
Potential Complications: Risks include infection, allergic reactions, and inflammatory responses. Physicians must communicate these risks to patients.
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Catalog excerpts

SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®-1

Collagen Matrix for Soft Tissue Reconstruction Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend

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SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®-2

Integra® SurgiMend® Collagen Matrix for Soft Tissue Reconstruction Surgeon Profile Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend Eugene C. Hsiao, M.D. Community Network, Indianapolis, IN Patient Presentation: Dr. Hsiao completed his undergraduate studies at the University of Michigan, Ann Arbor; and received his medical degree from Indiana University School of Medicine. Dr. Hsiao’s post-graduate training includes general surgery at the Phoenix Integrated Surgical Residency, Plastic & Reconstructive surgery fellowship at the University of Louisville, and Hand...

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SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®-3

Surgical Procedure Under general anesthesia, adhesions between segments of the bowel and the abdominal wall were lysed and the hernia was reduced by general surgery (Figure 2A). The fascial edges were grasped with Lahey clamps. The skin and subcutaneous tissues were elevated up to the medial row of rectus perforators. Manual palpation of the posterior surface of the abdominal wall assisted in determining the lateral border of the rectus abdominus muscle (Figure 2B). Two transverse incisions of 3 cm in width were made in the mid-abdomen over the lateral border of the right and left rectus abdominus...

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SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®-4

Figure 3A. Fascial re-approximation at the midline secured with non-absorbable sutures following minimally invasive component separation. Figure 3B. SurgiMend placement anterior to the rectus abdominus muscle, secured to the intact fascia with degradable sutures. Clinical Outcome The patient was admitted to the hospital ward awaiting return of bowel function and pain control. She was discharged home on oral pain medications three days after the procedure. Prophylactic antibiotics (Cefazolin) were given just prior to induction of anesthesia, and maintained for the duration of the hospital stay....

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SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®-5

SurgiMend Collagen Matrix for Soft Tissue Reconstruction is part of a family of soft tissue repair products Description SurgiMend is an acellular dermal tissue derived from bovine dermis. The device is supplied sterile in a variety of sizes, shapes, and thicknesses to be trimmed by the physician to meet the individual patient’s needs. Indications SurgiMend is intended for implantation to reinforce soft tissue where weakness exists and for surgical repair of damaged or ruptured soft tissue membranes. SurgiMend is specifically indicated for: • Plastic and reconstructive surgery • Muscle flap reinforcement...

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SurgiMend® Case Study: Hernia Repair by Minimally Invasive Component Separation Reinforced with SurgiMend®-6

Integra® SurgiMend® Collagen Matrix for Soft Tissue Reconstruction Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sale in such country or region. Always refer to the appropriate instructions for use for complete clinical instructions. Non contractual document. The manufacturer reserves the right, without prior notice, to modify the products in order to improve their quality. Warning: Applicable laws restrict these products to sale by or on the order of a physician. n n n For more...

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