Product
Source
Cross-linked
Sterilization method
Alloderm (Lifecell, Branchburg, NJ)
Human dermis
No
Ionic
Allomax (Davol, Warwick, RI)
Human dermis
No
E beam
Flex HD (Ethicon, Sommerville, NJ)
Human dermis
No
Ethanol
Strattice (Lifecell, Branchburg, NJ)
Porcine dermis
No
Gamma irradiation
Permacol (Covidien, Norwalk, CT)
Porcine dermis
Yes
Ethanol
Collamend (Davol, Warwick, RI)
Porcine dermis
Yes
Ethanol
Xenmatrix (Davol, Warwick, RI)
Porcine dermis
No
Gamma irradiation
Surgimend (TEI Biosciences, Boston, MA)
Bovine fetal dermis
No
Ethanol
Veritas (Synovis, St. Paul, MN)
Bovine pericardium
No
Periguard (Synovis, St. Paul, MN)
Bovine pericardium
Yes
Surgisis (Cook, Bloomfield, IN)
Porcine intestine
No
Ethanol
Quilting
The use of biologic mesh has been used more frequently, especially with the predominant use of acellular dermal matrix (ACM). Historically, individual pieces were small and therefore had to be quilted together. Initially, it was felt that the acellular dermal matrix quilts could be sutured to the fascial edge with acceptable outcomes (Figs. 5.1 and 5.2a–d). This concept was inconsistent with general principles learned with synthetic mesh experiences [1–3, 6].
Fig. 5.1
One of the very first reported cases in which the acellular matrix was used in 2001. It illustrates the quilting of the small pieces of ACM to each other and to the fascial edge
