Document Detail


Operative treatment of ventral hernia using prosthetic materials.
MedLine Citation:
PMID:  17576519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to summarize the clinical experiences in repairing abdominal incisional hernia with prosthetic materials. METHODS: Eighty-three patients with ventral hernia were analyzed retrospectively. RESULTS: Two patients developed pulmonary infection, one developed adhesive ileus, and five developed wound infection. All wounds healed completely during follow-up. Seventy-three (88%) patients were free of pain, and ten patients (12%) felt pain in the operated area within the last month; only one patient required pain-relieving drugs. Twenty-nine patients (35%) felt discomfort, such as stiffness. Four cases experienced postoperative recurrence. CONCLUSIONS: Incisional herniorrhaphy with prosthetic materials is safe and effective but has a high discomfort rate. Open giant incisional hernia or recurrent incisional hernia should be performed by trained surgeons. Placing mesh in a suitable position and using a patch with minimal reaction and enough tensile strength may improve the prognosis. Further studies are necessary utilizing light polypropylene mesh.
Authors:
J G Han; S Z Ma; J K Song; Z J Wang
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Publication Detail:
Type:  Journal Article     Date:  2007-06-19
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  11     ISSN:  1265-4906     ISO Abbreviation:  Hernia     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-27     Completed Date:  2008-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  France    
Other Details:
Languages:  eng     Pagination:  419-23     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, 8 Baijiazhuang Lu, Chaoyang District, Beijing 100020, China. hjg512@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cohort Studies
Composite Resins*
Female
Hernia, Ventral / pathology,  surgery*
Humans
Male
Middle Aged
Polypropylenes*
Polytetrafluoroethylene*
Retrospective Studies
Surgical Mesh*
Suture Techniques*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Composite Resins; 0/Polypropylenes; 9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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