Document Detail


Prosthetic repair of incisional hernia combined with elective bowel operation.
MedLine Citation:
PMID:  18939373     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A Machairas; T Liakakos; P Patapis; C Petropoulos; D Tsapralis; E P Misiakos
Related Documents :
7486763 - Acute appendicitis: does removal of a normal appendix matter, what is the value of diag...
17270613 - Oncologic outcome of hand-assisted laparoscopic radical nephrectomy.
12036643 - Phacotrabeculectomy: peripheral iridectomy or no peripheral iridectomy?
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2008-10-22     Completed Date:  2008-12-16     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  274-7     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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:
0/Polypropylenes

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


Previous Document:  Are we missing diagnostic opportunities in cases of carcinoid tumours of the appendix?
Next Document:  Intra-operative culture swabs in acute appendicitis: a waste of resources.