Mark W. Clemens, MD • Houston, Texas

Ventral hernia repair using SERI® Surgical Scaffold for soft tissue support

Case in brief

Ventral hernia repair with retrorectus placement of SERI® Surgical Scaffold for abdominal wall reinforcement and soft tissue support.

Case history

A 67-year-old male presented with recurrent bladder cancer and a ventral hernia. Visual assessment showed a widened midline vertical scar in the upper abdomen, extending from the xiphoid process to the umbilicus. There was a palpable fascial defect in the upper abdomen, but no evidence of entrapped bowel or other abdominal contents within the hernia. No other bulges or hernias were present. The patient had a history of diabetes, peripheral vascular disease, and hypertension. A preoperative CT scan showed a 5-cm fascial defect with bowel herniation beneath the subcutaneous tissues.

Preoperative CT scan with defect identified

This Case Review is provided for your information only. As with other surgical and medical decisions, it is the responsibility of surgeons to use sound medical judgment in utilizing the procedures best suited to the needs of each patient and to the skills and experiences of the surgeon. Please refer to the SERI® Surgical Scaffold Instructions for Use for current information.

Facilitates Neovascularization (As Early As 2 Days) and Native Tissue Generation Over Time1,*

Learn More

Support and Strength From Native Tissue1,*

Learn More®

*Methodology: In an ovine subcutaneous thoracic wall implant study designed to measure the strength and thickness of SERI® Surgical Scaffold and newly generated native tissue at up to 24 months after implantation of SERI®.1
Note: Similar studies in humans have not been performed.

Methodology: In a study using SERI® Surgical Scaffold in a rat model of abdominal wall defect.1
Note: Similar studies in humans have not been performed.


Indications for Use
SERI® Surgical Scaffold is indicated for use as a transitory scaffold for soft tissue support and repair to reinforce deficiencies where weakness or voids exist that require the addition of material to obtain the desired surgical outcome. This includes reinforcement of soft tissue in plastic and reconstructive surgery, and general soft tissue reconstruction.

Important Safety Information
Contraindications

  • Patients with a known allergy to silk
  • Contraindicated for direct contact with bowel or viscera where formation of adhesions may occur

Warnings

  • SERI® Surgical Scaffold must be placed in maximum possible contact with healthy well-vascularized tissue to encourage ingrowth and tissue remodeling
  • Caution should be used when implanting SERI® Surgical Scaffold in pregnant women. The use of a device that can impede tissue expansion may be hazardous during pregnancy

Adverse Reactions
Adverse reactions are those typically associated with surgically implantable materials, including infection, inflammation, adhesion formation, fistula formation, and extrusion.