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Alloderm
nappio at aol.com nappio at aol.comFri Jan 4 22:38:23 GMT 2008
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I have used it often and been to every meeting. Primary alloderm closure will always stretch, some to the extent of being a three thousand dollar hernia sac. For salvag closure it is ideal, but for definitive management I have only found it useful as a mesh underlay when combined with fascial component separation to provide definitive tissue closure of fascia on top of it. We have done this a number of times with excellent results. Your complaints are well known in hernia circles. DN Sent from my Verizon Wireless BlackBerry -----Original Message----- From: "Marc Matthews - MedPro MMC X" <Marc_Matthews at medprodoctors.com> Date: Thu, 3 Jan 2008 20:21:39 To:<trauma-list at trauma.org> Subject: Alloderm All, Quick question . . . (As I just joined the website I am not sure if you have discussed this topic before.) Is anyone having problems with Alloderm for abdominal wall reconstructions. We are having some recurrent hernias, infections, etc. I am wondering if anyone is finding that it is not being incorporated into the fascia and instead is just weakening over time. Patients are returning to clinic with complaints of recurrent hernias months to years out. I have placed it in several patients but stopped early on. I was concerned but had no data at that time. What is everyone else seeing and what are people's feelings about this product and the porcine Surgisis product? Thank you, Marc R. Matthews, MD Medical Director, Trauma Services, Maricopa Medical Center Medical Director, Respiratory Care Services, Maricopa Medical Center Associate Director, Arizona Burn Center, Maricopa Medical Center CONFIDENTIALITY NOTICE: This message and any of the attached documents contain information from the Medical Professional Associates of Arizona, (MedPro), that may be confidential and/or privileged. If you are not the intended recipient, you may not read, copy, distribute, or use this information, and no privilege has been waived by your inadvertent receipt. If you received this transmission in error, please notify the sender by reply email and then delete this message. Thank you. CONFIDENTIAL MATERIALS PROTECTED under ARS § 36-445, ARS § 36-2403 and Federal Patient Safety and Quality Improvement Act of 2005 -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/index.php?/community/
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