Document Detail

Single-stage sacral coccygectomy and repair using human acellular dermal matrix (AlloDerm) with bilateral gluteus maximus flaps for hernia prophylaxis.
MedLine Citation:
PMID:  18998194     Owner:  NLM     Status:  MEDLINE    
Sacrococcygectomy is often necessary for the ablation of malignancies involving the sacrum and coccyx, and can result in deep posterior peritoneal defects with disruption of the pelvic floor. Such a radical procedure is frequently associated with significant morbidity, including sacral herniation. Numerous techniques for the closure of the surgical defect have been described, with varying degrees of success in avoiding future herniation. We report the first single-stage coccygectomy and partial sacrectomy with closure utilizing human acellular dermal matrix (HADM) (AlloDerm; LifeCell Corporation, Branchburg, NJ) and bilateral gluteus maximus transposition flaps.
J M Korn; M M Connolly; R L Walton
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-08
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  13     ISSN:  1248-9204     ISO Abbreviation:  Hernia     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-04     Completed Date:  2009-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  France    
Other Details:
Languages:  eng     Pagination:  329-32     Citation Subset:  IM    
Department of Surgery, St. Joseph Hospital, 2900 N. Lake Shore Dr., Chicago, IL 60657, USA.
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MeSH Terms
Biocompatible Materials
Bone Neoplasms / surgery*
Chordoma / surgery*
Coccyx / surgery*
Hernia / etiology,  prevention & control*
Middle Aged
Pelvic Floor
Sacrum / surgery*
Surgical Flaps
Reg. No./Substance:
0/Alloderm; 0/Biocompatible Materials; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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