{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T16:34:32Z","timestamp":1757781272588,"version":"3.40.5"},"reference-count":0,"publisher":"National Library of Serbia","issue":"2","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>Background. Large defects of the abdominal wall caused by incisional hernia\n   still represent a challenging problem in plastic, reconstructive, and\n   abdominal surgery. For their successful tension-free repair a proper\n   selection of reconstructive material is essential. In the last decades, the\n   use of synthetic meshes was dominant while biological autodermal grafts were\n   rarely used. The aim of the study was to comparatively analyse efficacy and\n   safety of autodermal graft and polypropylene mesh in surgical treatment of\n   large abdominal wall defects. Methods. This prospective comparative clinical\n   study enroled 40 patients surgically treated for large incisional hernia\n   repair in a 10-year period. The patients were divided into two equal groups\n   consisting of 20 subjects and treated either by biological autodermal graft\n   or by synthetic polypropylene mesh. The surgical techniques of\n   reconstruction, duration of surgery, the occurrence of early, minor, and\n   major (severe) and delyed complications and hospital stay were analyzed. The\n   average follow-up took 2 years. Results. Statistically significant\n   differences in demographic characteristics of patients and in size of defects\n   were not found. The surgical technique of reconstruction with an autodermal\n   graft was more complicated. The duration of surgery in patients treated with\n   autodermal grafts was significantly longer. There was no statistically\n   significant difference regarding occurrence of early, minor postoperative\n   complications and hospital stay in our study. Two severe complications were\n   registered in the synthetic mesh group: intestinal obstruction and\n   enterocutaneous fistula. The recurrence rate was 10% in the autodermal graft\n   group and 15% in the group with a synthetic mesh. Conclusion. Tension-free\n   repair of large incisional hernia with autodermal grafts was unjustly\n   neglected despite the fact that it is safe and effective. It can be applied\n   in all cases where synthetic mesh are not indicated (presence of infection,\n   immunodeficient patients, after radiotherapy). They are especially important\n   in war surgery and in lack of funds when commercial grafts cannot be\n   purchased.<\/jats:p>","DOI":"10.2298\/vsp1302182s","type":"journal-article","created":{"date-parts":[[2013,2,5]],"date-time":"2013-02-05T14:13:50Z","timestamp":1360073630000},"page":"182-188","source":"Crossref","is-referenced-by-count":4,"title":["Comparative analysis of autodermal graft and polypropylene mesh use in large incisional hernia defects reconstruction"],"prefix":"10.2298","volume":"70","author":[{"given":"Danilo","family":"Stojiljkovic","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of Plastic and Reconstructive Surgery, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3457-9001","authenticated-orcid":false,"given":"Predrag","family":"Kovacevic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of Plastic and Reconstructive Surgery, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Visnjic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of Plastic and Reconstructive Surgery, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1115-4702","authenticated-orcid":false,"given":"Irena","family":"Jankovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of Plastic and Reconstructive Surgery, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9619-8696","authenticated-orcid":false,"given":"Goran","family":"Stevanovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of Plastic and Reconstructive Surgery, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Predrag","family":"Stojiljkovic","sequence":"additional","affiliation":[{"name":"Orthopedic Clinic, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marija","family":"Stojiljkovic","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology and Obstetrics, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Trenkic","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology and Obstetrics, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoran","family":"Golubovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Orthopedic Clinic, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nebojsa","family":"Ignjatovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of General Surgery, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4944-1822","authenticated-orcid":false,"given":"Zorica","family":"Dimitrijevic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Ni\u0161 + Clinic of Nephrology, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatjana","family":"Kovacevic","sequence":"additional","affiliation":[{"name":"Centre of Anesthesiology and Reanimation, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biljana","family":"Stosic","sequence":"additional","affiliation":[{"name":"Centre of Anesthesiology and Reanimation, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasa","family":"Bagur","sequence":"additional","affiliation":[{"name":"Centre of Anesthesiology and Reanimation, Clinical Center Ni\u0161, Ni\u0161"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:12:21Z","timestamp":1685358741000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501302182S"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1302182s","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"type":"print","value":"0042-8450"},{"type":"electronic","value":"2406-0720"}],"subject":[],"published":{"date-parts":[[2013]]}}}