| Incisional hernioplasty with extraperitoneal onlay polyester mesh. | |
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MedLine Citation:
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PMID: 15328809 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Recurrent incisional hernia remains a major problem for the general surgeon. The high recurrence rate of incisional hernias after primary closure by tissue approximation led to the development of tension-free procedures using prosthetic materials. The goal of this study is to present the results of an extraperitoneal tension-free technique using a polyester mesh (Mersilene). A total of 43 patients with incisional hernias were surgically treated during a 9-year period in our department. Twenty-four patients (56%) had recurrent incisional hernias, 21 had primary repair by tissue approximation, and 3 had prolene mesh tension-free repair with wound infection. Patients' mean age was 68.2 years, and the mean postoperative follow-up was 54.4 months. Immediate postoperative complications were noticed in 9 patients (21%) subcutaneous seroma in 6 (14%) and wound infection in 3 (7%). Recurrence was noticed in 4 patients (9%) during the first 9 postoperative months. Late minor complications such as restriction of abdominal wall motility and chronic pain was noticed in 3 (7%) patients. In conclusion, the extraperitoneal onlay tension-free incisional hernia repair using polyester mesh is an easy and safe procedure with no major morbidity or recurrence rate. |
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Authors:
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Anastasios Machairas; Evangelos P Misiakos; Theodore Liakakos; Gabriel Karatzas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American surgeon Volume: 70 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-08-26 Completed Date: 2004-09-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: United States |
Other Details:
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Languages: eng Pagination: 726-9 Citation Subset: IM |
Affiliation:
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3rd Department of Surgery, University of Athens, Faculty of Medicine, Attikon University Hospital, Athens, Greece. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Hernia, Ventral / etiology, surgery* Humans Male Middle Aged Polyesters Surgical Mesh* Surgical Procedures, Operative / adverse effects Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Polyesters |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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