Long-term Outcome After Nonvascularized Rectus Fascia Transplantation in Solid Organ Transplantation: A Global Multicenter IIRTA Survey

作者：Nele Van De Winkel, Ewout Muylle, Emilio Canovai, Irum Amin, Andrew Butler, Rodrigo Vianna, Gennaro Selvaggi, Pablo Farinelli, Gabriel Gondolesi, Carmelo Loinaz, Iago Justo, Hector Vilca‐Melendez, Ulrika Skogsberg Dahlgren, Gustaf Herlenius, Alireza Shamsaeefar, Hamed Nikoupour, Antoine Dubois, Marc Miserez, André D’Hoore, Robert S. Venick, Jacques Pirenne, Laurens J. Ceulemans · 发表于：Transplantation Direct · 年份：2025 · DOI：10.1097/txd.0000000000001839 · 被引用次数：4 · 研究领域：Abdominal Surgery and Complications、Minimally Invasive Surgical Techniques、Bariatric Surgery and Outcomes

Background: Abdominal wall (AW) closure after solid organ transplantation (SOT) is challenging in case of loss of abdominal domain and/or large-for-size grafts. Primary closure is crucial to avoid open abdomen-associated morbidity and mortality. Several techniques have been developed to address this challenge, including nonvascularized rectus fascia transplantation (NVRF Tx). Long-term outcome is missing. Methods: We designed a multicenter survey to analyze the worldwide experience after NVRF Tx. International Intestinal Rehabilitation And Transplantation Association members were invited to participate to a questionnaire. The survey included all NVRF Tx performed after SOT. Questions were classified into pre-, intra-, and postoperative data. Results: Of the 29 responding centers, 8 performed NVRF Tx, comprising 98 patients in total. Thirty-two patients underwent multivisceral Tx (33.3%), 27 isolated intestinal Tx (28.1%), 21 combined liver-intestinal Tx (21.9%), 8 liver Tx (8.3%), 8 other SOT (8.3%), and 2 (2.0%) not reported. Thirty NVRF (30.9%) were from third-party donors. Thirty patients (31.3%) had surgical site infections. Seventy-one (74.0%) patients had reoperations, of them 18 (26.1%) patients had NVRF removal. Median follow-up time was 31 mo (10.0-63.5). Seventeen patients presented with bulging of the AW (18.7%), 5 with herniation (5.9%). No NVRF graft rejection was reported. Conclusions: This survey reports long-term outcome after NVRF Tx, with herniation in a lim...