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Max R. Lehfeldt, MD • Pasadena, California

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

Postoperative care and follow-up

The patient was treated as an outpatient and advised to avoid lifting more than 10 pounds for 4 weeks and to refrain from excessive bending or twisting for 1 to 2 weeks. Six days after surgery, the drains were removed.

Results

There was no palpability of SERI® Surgical Scaffold at the initial postoperative visit or at 6 months postoperatively. At 6 months postoperatively, the patient had no recurrence of abdominal hernia or any bulging or stretching of the abdominal wall. SERI® Surgical Scaffold contributed to the support of the abdominal wall fascia to help maintain the desired result.

Actual patient photos. Individual results may vary.

Summary

Dr. Lehfeldt believed that using SERI® Surgical Scaffold helped maintain this patient’s desired result following repeat plication; it was especially critical during the early healing phase. Placing the scaffold as an onlay allowed tensile forces to be off-loaded from the fascia to the scaffold, providing lasting support, as SERI® Surgical Scaffold is bioreplaced over time.1

Dr. Lehfeldt found the large-pore design of SERI® Surgical Scaffold to facilitate fluid egress, thereby possibly reducing the risk of fluid collection and seroma formation.1 He added that the design also allows for easy suturing and visualization of the underlying tissue during placement.1

Bioreplaced
Over Time1,*
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Support and Strength
from Native Tissue1,*
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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.