{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T07:03:13Z","timestamp":1779951793124,"version":"3.53.1"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Surgical management of anterior abdominal wall hernias in women of reproductive age remains challenging, as repair techniques must accommodate physiological changes during pregnancy. While permanent synthetic meshes are effective, concerns exist regarding their mechanical behavior in the context of pregnancy in this patient population. Bioresorbable implants have emerged as a potential alternative; however, clinical data on pregnancy outcomes remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To present a case of abdominal wall reconstruction using a bioresorbable poly-4-hydroxybutyrate (P4HB, Phasix\u00ae) mesh with subsequent pregnancy and long-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case description<\/jats:title>\n                    <jats:p>A 42-year-old woman with a history of recurrent linea alba hernia and diastasis underwent retromuscular repair using a P4HB mesh. Sixteen months later, she conceived. Pregnancy and delivery were uneventful, with no abdominal wall-related symptoms. At 10-year follow-up, ultrasonography demonstrated no hernia recurrence, and laparoscopic inspection confirmed complete mesh resorption with preserved integrity of the linea alba.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this case, the use of a bioresorbable P4HB mesh was associated with an uncomplicated pregnancy and durable long-term outcome. However, given the single-case design and small defect size, these findings should be interpreted with caution and require confirmation in larger studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1776962","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:20:58Z","timestamp":1779949258000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Bioresorbable implant in anterior abdominal wall reconstruction in women of reproductive age. Case Report with pregnancy and a 10-year follow-up"],"prefix":"10.3389","volume":"13","author":[{"given":"Micha\u0142","family":"Putko","sequence":"first","affiliation":[{"name":"\u015amieta\u0144ski Hernia Center, LUX MED Hospital Gda\u0144sk","place":["Gda\u0144sk, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz","family":"Zamkowski","sequence":"additional","affiliation":[{"name":"\u015amieta\u0144ski Hernia Center, LUX MED Hospital Gda\u0144sk","place":["Gda\u0144sk, Poland"]},{"name":"2nd Department of Radiology, Medical University of Gda\u0144sk","place":["Gda\u0144sk, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"\u015amieta\u0144ski","sequence":"additional","affiliation":[{"name":"\u015amieta\u0144ski Hernia Center, LUX MED Hospital Gda\u0144sk","place":["Gda\u0144sk, Poland"]},{"name":"2nd Department of Radiology, Medical University of Gda\u0144sk","place":["Gda\u0144sk, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1097\/SLA.0000000000001634","article-title":"A 5-year clinical experience with a biosynthetic absorbable mesh for ventral hernia repair","volume":"265","author":"Rosen","year":"2017","journal-title":"Ann Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1097\/SLA.0000000000002932","article-title":"Prospective study of single-stage repair of infected or contaminated ventral hernias using a bioabsorbable mesh: the COBRA study","volume":"268","author":"Itani","year":"2018","journal-title":"Ann Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2100","DOI":"10.1007\/s00464-007-9341-1","article-title":"Use of a bioresorbable mesh to reinforce abdominal wall repair in a porcine 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