Role for biological meshes for delayed abdominal wall closure after pediatric liver transplantation?

Abstract

In the current issue of the Journal, Caso Mae-stro et al. (1) describe their experience using abiological mesh for delayed abdominal wall clo-sure after pediatric liver transplantation. Theauthors should be congratulated on reviewingand presenting their excellent results. We fullyagree that tension-free abdominal closure at theend of a challenging procedure is mandatory.The importance of this problem in differentareas of the transplant field, such as liver, intes-tinal, and multivisceral transplantation, hasmotivated not only single center experiences,but also combined experiences and reviews (2–6). The proposed technique is an acceptableoption, but there are certain considerations thatrequire further discussion.