Challenging abdominal incisional hernia repaired with platel
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The necessity to develop new treatment options for challenging procedures in hernia surgery is becoming even more evident and tissue engineering and biological technologies offer even newer strategies to improve fascial healing.A 71-year-old female patient complained of an abdominal incisional hernia, complicated by enterocutaneous fistula, 4-months following laparostomy. Contrast-enhanced computed tomography showed an incisional hernia defect of 15.5?×?20?cm, with a subcutaneous abscess and an intestinal loop adherent to the anterior abdominal wall, with a concomitant enterocutaneous fistula. The surgery involved abdominal wall standardized technique closure, with in addition platelet-rich plasma and bone marrow-derived mesenchymal stromal cells implanted on a biological mesh. Two years follow-up showed no recurrences of an incisional hernia...

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