Journal List > J Korean Surg Soc > v.77(3) > 1011010

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Choi, Lee, Park, and Lee: Experience with Porcine Acellular Dermal Collagen (Permacol®) Implant in Contaminated Fascia Defects
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 77(3): 216-220.

Published online: 4 September 2009

DOI: https://doi.org/10.4174/jkss.2009.77.3.216

Experience with Porcine Acellular Dermal Collagen (Permacol®) Implant in Contaminated Fascia Defects

Sung Il Choi, M.D., Ph.D., Kil Yeon Lee, M.D., Ph.D., Sun Jin Park, M.D., Suk-Hwan Lee, M.D.

Department of Surgery, KyungHee University School of Medicine, Seoul, Korea.

Corresponding author (isaac34@korea.com)

Received 23 October 2008       Accepted 5 March 2009

Copyright © 2009 The Korean Surgical Society

Abstract

Reconstruction of the fascia defect, especially complicated one is challenging problem. We report our experiences of porcine acellular dermal collagen (Permacol®) in contaminated fascia defects. Three patients with contaminated fascia defect were reconstructed using Permacol®. Permacol® was fixed to fascia with 2-0 polypropylene sutures and at least 2 cm of the implant was allowed to overlap the defect. Types of fascia defect consisted of large parastomal hernia in rectal cancer patients, multiple enterocutaneous fistulas in Crohn's disease and evisceration due to surgical site infection. Postoperative complication was 1 case of graft infection in a Crohn's disease patient, but infection was controlled using antibiotics.

Keywords: Permacol®, Fascia defect, Reconstruction

Figures and Tables

Fig. 1
Reconstruction of parastomal hernia using Permacol®-"Top Hat" method. (A) The "Top hat" using Permacol®. (B) Parastomal hernia is seen before reconstruction. (C) Parastomal protrusion corrected after reconstruction.
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Fig. 2
Using Permacol® for reconstruction of contaminated abdominal wall defect with multiple enterocutaneous fistula in Crohn's disease. (A) Multiple enterocutaneous fistulas around ileostomy is seen. (B) Ileostomy is taken down and debridement is done on fistulous tracts. (C) Ileostomy is relocated in RLQ and previous ileostomy site is reconstructed with Permacol®.
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Fig. 3
Reconstruction of Wound Evisceration due to wound infection using Permacol®. (A) Evisceration is caused by wound infection. (B) Abdominal wall defect with infection is reconstructed using Permacol®.
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