Nina ŠARKŐZYOVÁ, Ján KOLLER

Klinika popálenín a rekonštrukčnej chirurgie LF UK a UNB, prednosta prof. MUDr. J. Koller, PhD.

SUMMARY
The case report describes the successful application of biological dermal matrix in the reconstruction of the abdominal wall. We point out its availability also in our conditions and we emphasize the particular positive properties of these biological matrices, in which the native dermal structure is preserved. These characteristics are often absent in the commercially available products due to the application of aggressive decelullarisation methods. Based on our positive experience with this biomaterial, an acellular dermal allograft was applied in the reconstruction of secondary healing, infected abdominal wall wounds after repeated relaparotomias in a 40 years old woman. During the reconstruction operation in our workplace, the infected synthetic meshes were removed, the acellular dermal allografts - biological matrices were implanted, and the abdominal wall was reconstructed along anatomical layers. Within 19 days, the wounds healed per primam, and in 5 years postoperatively, a satisfactory condition without hernia with solid, well-adapted scars that did not limit the patient‘s daily life persisted.
Key words: acelullar dermal substitute, biological matrix, reconstruction of abdominal wall.

Lek Obz (Med Horizon), 2020, 69(1): 32-35.