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Case Reports in Emergency Medicine
Volume 2014, Article ID 585723, 3 pages
http://dx.doi.org/10.1155/2014/585723
Case Report

Evaluation of a Porcine Dermal Collagen (Permacol) Implant for Abdominal Wall Reconstruction in a Pediatric Multitrauma Patient

1Department of General and Vascular Surgery, Barzilai Medical Center, Hahistadrout Street 2, 78278 Ashkelon, Israel
2Department of Pediatric Surgery, Barzilai Medical Center, Hahistadrout Street 2, 78278 Ashkelon, Israel

Received 6 January 2014; Accepted 4 February 2014; Published 10 March 2014

Academic Editors: K. Imanaka, K. Jani, and V. Papadopoulos

Copyright © 2014 Idit Melnik et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The presence of a contaminated surgical field in abdominal wall defects caused by trauma presents a challenge for surgeons. Both primary suture and synthetic meshes are strongly discouraged as surgical treatments in such cases. We describe the use of a porcine dermal collagen (Permacol) implant in an eight-year-old patient with multiple injuries. Three months after discharge, the child remains well with good cosmetic results. He is free of pain and has returned to full activity levels with complete wound closure and without any evidence of residual hernia. In conclusion, our experience indicates that the use of Permacol can be considered an efficient technique for reconstructing an infected abdominal wall defect of a pediatric multitrauma patient.