AORN Journal
Volume 90, Issue 4 , Pages 513-524, October 2009

Abdominal Wall Reconstruction Using Biological Tissue Grafts

  • Patricia Brown, RN, BSN

      Affiliations

    • Patricia Brown, RN, BSN, was the western region clinical specialist for Permacol with Covidien, Mansfield, MA, at the time this article was written. Ms Brown has declared that her employment at Covidien could be perceived as a potential conflict of interest in publishing this article.

ABSTRACT 

Synthetic mesh products have been used to repair abdominal wall defects (eg, hernias) for many years. Biological mesh products are now available as an option when synthetic mesh products are not appropriate. To correctly prepare biological tissue grafts for use in the OR, perioperative nurses must understand the types of grafts available. Biological tissue grafts may be harvested from human, porcine, bovine, or equine hosts and from skin, pericardium, or small intestine submucosa. AORN J 90 (October 2009) 513–520. © AORN, Inc, 2009.

Key words:  biological tissue grafts , biologics , abdominal wall defects , cross-link , decellularization , hernia , porcine dermis , porcine small intestine submucosa , fetal bovine dermis , human dermis

 

 New! Complete this CE activity online at aorn.org/CE indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and taking the examination on pages 521–522 and then completing the answer sheet and learner evaluation on pages 523–524. The contact hours for this article expire October 31, 2012.Editor's notes: AlloDerm is a registered trademark and Strattice is a trademark of LifeCell, Branchburg, NJ. AlloMax, CollaMend, and XenMatrix are trademarks of CR Bard/Davol, Warwick, RI. FlexHD is a trademark of Ethicon, Somerville, NJ. Permacol is a trademark of Covidien, Mansfield, MA. SurgiMend is a trademark of TEI, Boston, MA. Surgisis is a registered trademark of Cook, Bloomington, IN. Veritas is a registered trademark of Synovis, St Paul, MN.Publication of this article does not imply AORN endorsement of specific products. Not all available biological tissue graft products are mentioned in this article.The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, director, Center for Perioperative Education. Ms Holm and Ms Bakewell have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.AORN recognizes these activities as continuing education for registered nurses. This recognition does not imply that AORN or the American Nurses Credentialing Center approves or endorses products mentioned in the activity.AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.

PII: S0001-2092(09)00412-8

doi:10.1016/j.aorn.2009.05.024

AORN Journal
Volume 90, Issue 4 , Pages 513-524, October 2009

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