This topic revolves around a challenging decision faced by someone with a persistent abdominal wound that refuses to heal. The person has been presented with two options by a plastic surgeon: either leave the wound open permanently or undergo a significant reconstructive surgery. This surgery would involve using an experimental mesh made from cadaver tissue and repositioning abdominal muscles. The person was hoping for a simpler solution, like a skin graft, and is understandably anxious about the choices, especially the idea of another major surgery with an experimental product. A CT scan is planned, and the results will determine if they are a candidate for the procedure. Despite the challenges, they find a bit of humor in getting time off work, although their permanent ostomy, humorously named "Stefan the Stoma," is not cooperating well at the moment.

Here are some insights and advice shared by others:

1. The experimental cadaver-based mesh is quite new, with only a few surgeons in North America licensed to use it. The surgeon involved is one of them.

2. One person shared their experience with pig-skin mesh, mentioning multiple surgeries and issues with mesh deterioration, leading to new hernias and a weakened abdominal wall.

3. Another person had a successful reconstruction with a porcine collagen implant and a vacuum pump, which started healing within weeks. Although the wound has stayed closed for three years, they still experience core weakness.

4. If you are undergoing a CT scan with oral contrast, be prepared for rapid output. It's wise to bring extra ostomy bags and supplies for the journey home.

5. Large external drainage bags are usually not provided during scans, so it's best to bring your own supplies.

6. For complex abdominal wall issues, consider seeking help from high-volume centers like the Cleveland Clinic if local options are limited.

7. Emotional support is crucial. Many emphasize the importance of positive thinking, prayer, and finding comfort in the expertise of surgeons and the potential of new biological materials to provide a lasting solution, even after multiple failed repairs.