Report an error   
Advanced Search

Reconstruction of the infrarenal aorta using a fascia-peritoneal patch graft in pigs.


Anthony Manlulu,
Jonathan Nolasco,
Edgar Palacol,
Imelda Palacol,
Stephanie Santos,

Related Institution

Section of Thoracic and Cardiovascular Surgery, Department of Surgery, - St. Luke's Medical Center, Quezon City, Metro Manila, Philippines

Publication Information

Publication Type
Sub Type
Journal Article, Original
Philippine Journal of Surgical Specialties
Date of Publication
January-March 2003


Vascular reconstruction utilizing autologous vein grafts may require additional incisions for harvesting. Synthetic prosthetic grafts are associated with an increased risk of infection.
OBJECTIVE: We present an alternative method of aortic reconstruction using autologous fascia and peritoneum as a patch graft.
METHODS: Fascia-peritoneal patch grafts were used to repair an infrarenal aortic defect in 5 landrace pigs. The subjects underwent re-laparotomy at specific intervals with excision of the grafted aortic segment. The specimens were examined utilizing hematoxylin and eosin stain, special stains for elastin (Weigerts stain), collagen (Massons Trichrome stain) and immunohistochemical stain for factor VIII.
RESULTS: In all specimens, no thrombosis was noted and graft patency was 100 percent. Endothelialization was apparent at 7 days, however, factor VIII stain failed to light up the endothelial cells in all specimens. Elastin and collagen formation were noted in the patch graft at 28 days as shown in Weigerts and Massons Trichome stain.
CONCLUSION: Fascia-peritoneal patch graft can be used as an alternative method of aortic reconstruction with excellent patency rates and no wound complications.


1. Ohwada, S. , et al., . Glutaraldehyde fixed heterologous pericardium for vena cava grafting following hepatectomyHepatogastroenterology 46(26): 1999. Retrieved from:
2. Ribbe, E. B.. Evaluation of peritoneal tube graft in the IVC of the pigBr J Surg 75(4): 1988. Retrieved from:
3. Theuer, C. J., et al., . Vena cava replacement with a peritoneum-line vascular graftASAIO J 42, 266-270, 1996
4. Akimaru, K. , et al., . Reconstruction of the vena cava with the peritoneum Am J Surg 179, 289-293, 2000. Retrieved from:
5. Yoshioka, M. , et al., . Reconstruction of the portal vein using a peritoneal patch graftAm J Surg 181, 247-250, 2001. Retrieved from:
6. Chin, P. T., et al., . IVC resection with autogenous peritoneo-fascial patch graft caval repair: a new techniqueAust N Z J Surg 69(5): 1999. Retrieved from:
7. Suzman, M. , et al., . Fascia-peritoneal patch repair of the IVC: a workhorse in search of work? J Am Coll Surg 191(2): 2000
8. Itoh, T. , et al., . The pathogenesis of thrombosis in venous prosthesesEur J Surg 4(6): 1990. Retrieved from:
9. Coene, M. C., et al., . Prostaglandin production by cultured mesothelial cellsArch Int Pharmacodyn 249, 316-318, 1981
10. Raferty, A. T.. Regeneration of peritoneum: a fibrinolytic studyJ Anat 129, 659-664, 1979. Retrieved from:
11. Perler, B. . Infected vascular graft . In: Cameron J (ed.): Current Surgical Therapy 1998. 810-814. (6th editio)

Contact Details

Contact Person
Affiliated Institution
Contact Number

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Box No. 6 Fulltext pdf (Request Document)

©2023 HERDIN. All rights reserved. | Contact Us | Keep up to date