On lay mesh repair technique is a safe tension free repair for large incisional hernia (Prospective study)
DOI:
https://doi.org/10.61841/k5h73j49Abstract
Incisional hernia remains a frequent complication of abdominal surgeries with a reported incidence of (10- 15)% Repair of large incisional hernia is a difficult surgical problem with short and long term complications , severity of these complications are related in part to the type of operative technique adopted.
Aim of this study: to evaluate the outcome of repair of large incisional hernia with the (on lay tension free) mesh technique.
Patients and Method:
A prospective study that includes a 70 patients who underwent mesh repair for large incisional hernia on lay tension free polypropylene mesh with two points fixation during the period from January2007 to December 2011 in Al-Diwanyh Teaching Hospital. Complications like; hematoma, seroma, Wound infection, intestinal obstruction and enterocutaneous fistula Were recorded, the Follow up period Range from 4 to 21 month. Recurrence rate with the period of fellow up was recorded
Downloads
References
Williams ns , Bulstrode cj, Oconnell pr, abdominal wall hernia, bailey & loves short practice of
surgery , uk ,25th ed,.ARNOLD ,2008,986-989.
George, CD, Ellis, H. The results of incisional hernia repair: a twelve year review. Ann R Coll Surg Engl 1986;
68:185.
.BRUNICARDI FC,ANDRESON DK,BILLIAR TR, abdominal wall, SchwartzsPrinciples of Surgery 8th ed,
NEW YORK, McGraw-Hill Publishing, 2007,1321.
OWSEND CM,BEAUCHAMAP RD,EVERS BM, Sabiston Textbook of surgery. 17Th ed. Philadelphia: W.B.
Saunders Co., abdominal wall hernia, 2004, 1229.
Bucknall, TE, Cox, PJ, Ellis, H. Burst abdomen and incisional hernia: a prospective study of 1129 major
laparotomies. Br Med J (Clin Res Ed) 1982; 284:931.
Mudge, M, Hughes, LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg
1985; 72:70.
Kingsnorth, A, LeBlanc, K. Hernias: inguinal and incisional. Lancet 2003; 362:1561
ZINNER MJ, ASHLEY SW, MAINGOTS ABDOMINAL OPERATIONS, abdominal wall hernia,11 th ed
NEW YORK. McGraw-Hill Publishing.,2007,133-134,86-87.
Brooks DC, Abdominal wall hernias, WWW.UPTODATE.COM.17.1.
Hodgson, NC, Malthaner, RA, Ostbye, T. The search for an ideal method of abdominal fascial closure: a metaanalysis. Ann Surg 2000; 231:436.
11. van 't, Riet M, Steyerberg, EW, Nellensteyn, J, et al. Meta-analysis of techniques for closure of midline
abdominal incisions. Br J Surg 2002; 89:1350.
Fassiadis, N, Roidl, M, Hennig, M, et al. Randomized clinical trial of vertical or transverse laparotomy for
abdominal aortic aneurysm repair. Br J Surg 2005; 92:1208.
WILMORE DW,CHEUNG LY,HARKEN AH, incisional hernia, ACS Surgery, Principles and Practice NEW
YORK,. WebMD Professional Publishing, 2003,880.
Issamedin Abdallah Alajab, Aetiology, Presentation and Outcome of Mesh Repair among Sudanese Patients
with Incisional Hernia, uofketd-med2007366, 2008Yaser Assad Rasmy, Predisposing factors of incisional hernia in laprotomy wounds, athesis for Iraqi board of
medical specialization,2004.
Ramirez, OM, Ruas, E, Dellon, AL. "Components separation" method for closure of abdominal-wall defects:
an anatomic and clinical study. Plast Reconstr Surg 1990; 86:519.
De Vries, Reilingh TS, van Goor, H, Rosman, C, et al. "Components separation technique" for the repair of
large abdominal wall hernias. J Am Coll Surg 2003; 196:32.
Kingsnorth A, The Management of Incisional Hernia, Annals of The Royal College of Surgeons of England
2006, 88(3): 252–260.
Andersen LP, Klein M, Gögenur I, Long-term recurrence and complication rates after incisional hernia repair
with the open onlay technique BMC Surgery 2009, 9:6 doi:10.1186/1471-2482-9-6.
De Vries,Reilingh TS, van Geldere D, Langenhorst BLAM, de JOg D, Wilt GJ van der, van Goor H, Bleichrodt
RP: Repair of large midline incisional hernias with polypropylene mesh: Comparison of three operative
techniques. Hernia 2004, 8:56-59.
DeMaria, EJ, Moss, JM, Sugerman, HJ. Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE)
prosthetic patch repair of ventral hernia. Prospective comparison to open prefascial polypropylene mesh repair.
Surg Endosc 2000; 14:326.
Heniford, BT, Park, A, Ramshaw, BJ, Voeller, G. Laparoscopic repair of ventral hernias: nine years' experience
with 850 consecutive hernias. Ann Surg 2003; 238:391.
Ujiki, MB, Weinberger, J, Varghese, TK, et al. One hundred consecutive laparoscopic ventral hernia repairs.
Am J Surg 2004; 188:593.
Olmi S, Scaini GC, Erba L, Croce E: Laparoscopic versus open incisional hernia repair. Surg Endosc 2007,
21:555-559
25.Usher FC. Hernia repair with marled mesh. An analysis of 541 cases. Arch Surge 1962; 84: 73-76.
26.Jacobs E, Blaisdell FW, Hall AD. Use of knitted Marled Mesh in the Repair of ventral hernias. Am J
Surge 1965; 110: 897-902.
Matapurkar BG, Gupta AK, Agarwal AK. A new technique of “Marled – Peritoneal Sandwich” in the repair
of large incisonal hernias. World J Surge 1991; 15: 768-770.
.Molloy RG, Moran KT, Waldron RP, Brady MP, Kirwan WO. Massive incision hernia: abdominal wall
replacement with Marled mesh. Br J Surge 1991; 78: 242-244.
Lewis RT. Knitted polypropylene (marled) mesh in the repair of incision hernias. Can J Surge 1984; 27: 155-
157.
Langer S, Christiansen J. Long-term results after incision hernia repair. Acta Chir Scand 1985; 151: 217-219.
Jacbus W.A. Surgical management of large incision hernias by an intraperitoneal. polypropylene . Surge
Gynecol Obstet 1998; 165: 204-206.
Vrijland W W ,Jeekel,Steyerberg EW, et al. intraperitoneal polypropylene mesh repair of incision hernia is
not associated with enterocutaneous fistula. Br J Surge 2000; 87: 348- 52Loh A, Rajkumar JS, South LM. Anatomical repair of large incision hernias. Ann R Coll Surge Engl 1992;
74: 100-105.
Liakakos T, Karanikas I, Panagiotidis H, Dendrinos S. Use of Marled mesh in the repair of recurrent incision
hernia. Br J Surge 1994; 81: 248-249.
Leber D,Thomas LT, Weliam S, et al. Long term outcome of incision hernia mesh repair. Am J Surge.
1998;154:345-352
Lewis RT, Wiegand FM. Natural history of vertical abdominal parietal closure: Prolene versus Dexon. Can J
Surg. 1989;32:196-200.
Hodgson NC, Malthaner RA, Ostbye T. The search for an ideal method of abdominal fascial closure: a metaanalysis. Ann Surg. 2000;231:436-442.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
