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Purpose <p>To identify the current literature on the use of skin and dermal grafts as abdominal wall reinforcement methods in ventral hernia repair.</p> Methods <p>In accordance with the Cochrane and PRISMA guidelines, PubMed, SCOPUS and Cochrane databases were searched. Studies that highlighted the use of autologous dermal and skin grafts for reinforcement in abdominal wall reconstruction were included. There was no publication date restriction for inclusion in this review, but only studies published in English, Portuguese and Spanish were included for final analysis. Cochrane Risk of Bias Assessment Tool (ROB2) and Joanna Briggs Institute Case Series Critical Appraisal tool were used for publication bias assessment.</p> Results <p>Initial search obtained 705 studies. After removing 224 duplicate records and ineligible studies, 14 articles were selected for comprehensive review and 12 were included in the final analysis: 4 experimental studies, 6 observational series or reports, and 2 randomized controlled trials. A total of 390 patients underwent hernia repair with autologous graft, with a mean follow-up of 19 months.</p> Conclusion <p>Autologous dermal grafts and full-thickness skin reinforcement of the abdominal wall have been described as feasible approaches for abdominal wall reconstruction. Future research should aim to standardize procedural techniques and establish clear indications aligned with current hernia classification systems.</p>

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Full-thickness skin and dermal grafts as abdominal wall augmentation in ventral hernia repairs – a systematic review

  • 期刊论文

  • 发表日期：

    2026年3月6日

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  • Alvaro Cota Carvalho,
  • Mariana S. Mansur,
  • Marina F. G. Almeida,
  • William C. Bennet,
  • Luiza O. Figueiredo,
  • Clarissa Neto,
  • Claudio O. C. Campolina,
  • Pablo N. V. Hubner,
  • Thiago A. Furtado,
  • Gustavo M. Abras,
  • Diego P. C. Garcia

摘要

Purpose

To identify the current literature on the use of skin and dermal grafts as abdominal wall reinforcement methods in ventral hernia repair.

Methods

In accordance with the Cochrane and PRISMA guidelines, PubMed, SCOPUS and Cochrane databases were searched. Studies that highlighted the use of autologous dermal and skin grafts for reinforcement in abdominal wall reconstruction were included. There was no publication date restriction for inclusion in this review, but only studies published in English, Portuguese and Spanish were included for final analysis. Cochrane Risk of Bias Assessment Tool (ROB2) and Joanna Briggs Institute Case Series Critical Appraisal tool were used for publication bias assessment.

Results

Initial search obtained 705 studies. After removing 224 duplicate records and ineligible studies, 14 articles were selected for comprehensive review and 12 were included in the final analysis: 4 experimental studies, 6 observational series or reports, and 2 randomized controlled trials. A total of 390 patients underwent hernia repair with autologous graft, with a mean follow-up of 19 months.

Conclusion

Autologous dermal grafts and full-thickness skin reinforcement of the abdominal wall have been described as feasible approaches for abdominal wall reconstruction. Future research should aim to standardize procedural techniques and establish clear indications aligned with current hernia classification systems.