| Prosthetic repair of incisional hernia combined with elective bowel operation. | |
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MedLine Citation:
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PMID: 18939373 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND AIMS: Incisional hernia repair with mesh is considered a clean operation and it is not recommended to be perfomed at the same time with a potentially contaminated operation. The aim of this study is to assess the short-term results of a group of patients who underwent a colon operation and simultaneous incisional hernia repair with an onlay polypropylene mesh technique. Patients and METHODS: From Novemberto June 2006, 19 patients underwent incisional hernia repair with polypropylene mesh, with simultaneous colonic operation. In 13 patients reestablishment of bowel continuity after a Hartmann procedure was done, whereas in four patients a loop colostomy was closed. Two patients underwent colectomy for cancer. RESULTS: Post-operatively one patient had a seroma and two others had wound infections which required mesh removal. The mean follow-up was 70.15 +/- 48.40 months (range 3 to 142 months). During this period five patients died, four from progression of malignancy and one from myocardial infarction. Three patients (15.78%) developed recurrence, two patients with previous Hartmann's operation for complicated diverticulitis and wound infection and the third patient due to inappropriate mesh fixation with buttonhole hernia development. CONCLUSION: Prosthetic repair of incisional hernias can be safely performed simultaneously with a colonic operation, with an acceptable rate of infectious complications and recurrence. It is unjustifiable to avoid the use of mesh in a potentially contaminated field when an appropriate technique is used. |
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Authors:
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A Machairas; T Liakakos; P Patapis; C Petropoulos; D Tsapralis; E P Misiakos |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Volume: 6 ISSN: 1479-666X ISO Abbreviation: Surgeon Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-22 Completed Date: 2008-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101168329 Medline TA: Surgeon Country: Scotland |
Other Details:
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Languages: eng Pagination: 274-7 Citation Subset: IM |
Affiliation:
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3rd Department of Surgery, University of Athens School of Medicine, 'Attikon' University Hospital, Athens, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Colectomy Colonic Neoplasms / surgery* Female Hernia, Abdominal / etiology, radiography, surgery* Humans Male Middle Aged Polypropylenes Surgical Mesh* Surgical Wound Infection / complications, surgery Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Polypropylenes |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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