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Bradley Bengtson, MD • Grand Rapids, Michigan

Revisional hernia repair and abdominoplasty using SERI® Surgical Scaffold for soft tissue support

Postoperative care and follow-up

The patient was treated as an outpatient and advised to avoid lifting more than 10 pounds for 4 weeks, avoid excessive bending or twisting for 1 to 2 weeks, and abstain from sexual intercourse until pain free. Six days after surgery, after less than 20 cc of fluid had been collected in a 24-hour period for 2 consecutive days, the drain was removed. There was mild palpability of SERI® Surgical Scaffold at 1 week post surgery and the overlay was visible on ultrasound.

At 2 years postoperatively, the patient had no recurrence of abdominal hernia or any bulging or stretching of the abdominal wall, with maintenance of abdominal wall circumference; SERI® Surgical Scaffold was not palpable.

Results

Actual patient photos. Individual results may vary.

Summary

Dr. Bengtson found the weave of SERI® Surgical Scaffold easy to manipulate and allowed for clear visualization throughout placement and suturing. He noted the material increased slightly in firmness following hydration and was easy to tack in and secure to the abdominal wall. The fabric was very strong, and the weave also allowed for transmission of fluids, which helped to prevent fluid buildup and allowed for the use of just 1 drain vs drain spaces above and below the scaffold. The ability to cut the weave to create a custom overlay specific to the abdominal wall of the patient was a desirable feature.

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.

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.