Experience with Porcine Acellular Dermal Collagen (Permacol(R)) Implant in Contaminated Fascia Defects

Reconstruction of the fascia defect, especially complicated one is challenging problem. We report our experiences of porcine acellular dermal collagen (Permacol(R)) in contaminated fascia defects. Three patients with contaminated fascia defect were reconstructed using Permacol(R). Permacol(R) was fixed to fascia with 2-0 polypropylene sutures and at least 2 cm of the implant was allowed to overlap the defect. Types of fascia defect consisted of large parastomal hernia in rectal cancer patients, multiple enterocutaneous fistulas in Crohn's disease and evisceration due to surgical site infection. Postoperative complication was 1 case of graft infection in a Crohn's disease patient, but infection was controlled using antibiotics.