| Combined fascia and mesh repair of incisional hernias. | |
| | |
MedLine Citation:
|
PMID: 16609819 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Incisional hernia is a relatively common complication following abdominal operations. Due to high recurrence rates following primary suture, a prosthetic mesh is now usually used to repair the hernia. Several different types of repair are described. A combined fascia and mesh technique avoids opening the peritoneal cavity and potential damage to bowel. This study describes results of this technique. Consecutive patients undergoing the operation were contacted to assess freedom from recurrence and satisfaction with results. Some 34 patients underwent 36 incisional repairs. Of the 34 patients 21 were men and 13 were women with a median age of 69 years (range 31-86 years). The causative incisions were midline (30), Kochers (2), Pfannesteil (2) and transverse (2). The median time spent in hospital was three nights (range 1-14 days). Two patients developed seromas, another complained of pain soon after operation, one patient developed a superficial wound infection another developed a tender drain site which required exploration. One patient with significant co-morbidity died 13 days postoperatively from multiorgan failure. Freedom from recurrence of the hernia was 91% at 5 years. However patient survival was only 70% at 5 years. This technique is associated with low postoperative morbidity and a low recurrence rate. Patients presenting with incisional hernias have a poor long-term prognosis which needs to be borne in mind when planning intervention. |
| | |
Authors:
|
M J Lawson-Smith; R B Galland |
Related Documents
:
|
22996159 - Healing large traumatic eardrum perforations in humans using fibroblast growth factor a... 20174819 - Self-fixating mesh for the lichtenstein procedure--a prestudy. 17576519 - Operative treatment of ventral hernia using prosthetic materials. 16813669 - The effect of kidney morcellation on operative time, incision complications, and postop... 15529189 - Long-term outcome, adhesions, and quality of life after laparoscopic and open surgical ... 23656439 - Effect of clarithromycin in experimental empyema by multidrug-resistant pseudomonas aer... 2594589 - Revision of painful distal tip amputations. 11702619 - Comparison of the efficacy and safety of a combination topical gel formulation of benzo... 12916459 - Combined-modality treatment of localized soft tissue sarcomas of the extremities. |
Publication Detail:
|
Type: Journal Article Date: 2006-04-12 |
Journal Detail:
|
Title: Hernia : the journal of hernias and abdominal wall surgery Volume: 10 ISSN: 1265-4906 ISO Abbreviation: Hernia Publication Date: 2006 Jun |
Date Detail:
|
Created Date: 2006-06-07 Completed Date: 2007-01-19 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9715168 Medline TA: Hernia Country: France |
Other Details:
|
Languages: eng Pagination: 262-5 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Royal Berkshire Hospital, London Road, RG1 5AN, Reading, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Fascia / surgery* Female Hernia, Ventral / surgery* Humans Life Tables Male Middle Aged Postoperative Complications Recurrence Surgical Mesh* Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Preliminary results of a two-layered prosthetic repair for recurrent inguinal and ventral hernias co...
Next Document: Prospective clinical study of laparoscopic treatment of incisional and ventral hernia using a compos...