Results of prosthetic mesh repair in the emergency management of the acutely incarcerated and/or strangulated groin hernias: a 10-year study

Hernia ◽  
2015 ◽  
Vol 19 (6) ◽  
pp. 909-914 ◽  
Author(s):  
S. S. Bessa ◽  
M. R. Abdel-fattah ◽  
I. A. Al-Sayes ◽  
I. T. Korayem
Keyword(s):  
Emergency Management ◽  
Mesh Repair ◽  
Prosthetic Mesh ◽  
Groin Hernias ◽  
Prosthetic Mesh Repair

Prosthetic Mesh Repair in the Emergency Management of Acutely Strangulated Groin Hernias with Grade I Bowel Necrosis: A Rational Choice

2018 ◽  
Vol 84 (2) ◽  
pp. 215-219 ◽  
Author(s):  
Sheng-Jun Duan ◽  
Shao-Bo Qiu ◽  
Nai-Yong Ding ◽  
Hua-Shui Liu ◽  
Nai-Shun Zhang ◽  
...  
Keyword(s):  
Emergency Management ◽  
Wound Infection ◽  
Rational Choice ◽  
Mesh Repair ◽  
Prosthetic Mesh ◽  
Suture Repair ◽  
Primary Suture ◽  
Bowel Necrosis ◽  
Groin Hernias ◽  
Prosthetic Mesh Repair

The aim of this study was to determine the feasibility of prosthetic mesh repair according to the degree of bowel necrosis in the emergency management of acutely strangulated groin hernias. Emergency prosthetic mesh repair versus primary suture repair was randomly performed in 208 consecutive strangulated groin hernia patients with bowel necrosis between January 2005 and August 2016. The degree of bowel necrosis of each patient was determined according to a modified three-grade classification system. Patient characteristics sorted by repair method were analyzed by using Pearson's chi-squared tests. Correlations between mortality and wound-related morbidity with bowel necrosis grade and repair method were analyzed. There was no difference in gender, age, body mass index, comorbid diseases, hernia type (left or right, primary or recurrent), necrosis grade, and mortality between the mesh repair and suture repair groups (all P > 0.05). However, with regard to wound-related morbidity, there was significant difference between the two groups ( P < 0.05). Mortality and wound-related morbidity showed significant relationship with necrosis grade, especially with regard to postoperative wound infection ( P < 0.001). The wound infection rate with mesh repair was significantly higher than that with primary suture in Grade II and III necrosis patients ( P < 0.05), but there was no difference in Grade I patients ( P > 0.05). The use of prosthetic mesh in the emergency repair of acutely strangulated groin hernias seems to be as safe as suture-only repair in patients with noninfected strangulated bowel (Grade I necrosis). The use of prosthetic mesh repair is a rational choice made based on the degree of bowel necrosis in the emergency management of acutely strangulated hernias.

scholarly journals Repair of incisional hernias - Experience with a combined fascial and prosthetic mesh repair

2012 ◽  
Vol 1 (2) ◽  
pp. 6-9
Author(s):  
SM Amjad Hossain ◽  
Khairun Nahar
Keyword(s):  
Hospital Stay ◽  
Mesh Repair ◽  
Rectus Sheath ◽  
Early Mobilization ◽  
Prosthetic Mesh ◽  
Biliary Surgery ◽  
Total Period ◽  
Incisional Hernias ◽  
Prosthetic Mesh Repair

Repairs of incisional (ventral) hernia is one of the commonly performed operation in Bangladesh. This is a prospective study conducted in Shaheed Suhrawardy Hospital, Dhaka and a private Hospital (BDM Hospital) at Dhaka city from June 2001 to 31st May 2004 with a total period of 3 years and with total patients 43. Incisional hernias develop in upto 11% of surgical abdominal wounds with a possible recurrence, following repairs of 44%. There are several methods of repair of incisional hernias, including laparoscopic method of repair which is gaining popularity day by day. But we describe our experience with a combined fascial and prosthetic mesh repair. Of total 43 patients treated, 27 were female & 16 were male. The original operation was gynaecological in 27, bowel related surgery in 15 cases & biliary surgery in 4 patients. The incisions were midline in 31 patients, transverse in 10 patients and paramedian in 2 patients. The hernias were considered subjectively to be large in 21, medium in 16 and small in 6 patients. A parameter was compiled for each patient, noting intraoperative and post postoperative complications , post operative hospital stay and analgesic requirements. Post operative complications included seroma formation in 6 patients. One patient developed wound infection and require removal of the mesh 10 Control infection. Post operative hospital stay ranged from 2 to 17 days. Of total 43 patients 36 were available for follow- up. Seven drops from follow up. Follow up was from 6 months to 36 months. One (2.5%) of these patients complained of persistent lump and one reported persistent pain. Hernia recurrence in one patient (2.5%) , 35 was found to have no recurrence. We advocate these technique because it is applicable to all hernias,most of the mesh is behind the rectus sheath and has two points of fixation, it is relatively pain free allowing early mobilization has a less complication rate and low recurrence rate.DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12158 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.6-9

Prosthetic mesh repair of large and recurrent diaphragmatic hernias

2007 ◽  
Vol 21 (5) ◽  
pp. 737-741 ◽  
Author(s):  
Nir Lubezky ◽  
Boaz Sagie ◽  
Andrei Keidar ◽  
Amir Szold
Keyword(s):  
Mesh Repair ◽  
Prosthetic Mesh ◽  
Prosthetic Mesh Repair ◽  
Diaphragmatic Hernias

The Use of Prosthetic Mesh in the Emergency Management of Acute Incarcerated Inguinal Hernias

2019 ◽  
Vol 26 (3) ◽  
pp. 344-349 ◽  
Author(s):  
Jing Liu ◽  
Zhiwei Zhai ◽  
Jie Chen
Keyword(s):  
Wound Infection ◽  
Mesh Repair ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Wound Infection Rate ◽  
Prosthetic Mesh ◽  
Incarcerated Inguinal Hernia ◽  
Inguinal Hernias ◽  
Significant Difference ◽  
Prosthetic Mesh Repair

Introduction. Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases. Methods. Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included. Patient characteristics, operative approaches and results, and complications were retrospectively analyzed. Results. A total of 167 patients were included in our study. One hundred and twenty-two patients underwent open surgery while the remaining 45 patients underwent transabdominal preperitoneal laparoscopic approach. The hernia was indirect inguinal in 133 patients (79.6%), direct inguinal in 15 patients (9.0%), and femoral in 19 patients (11.4%). The overall wound infection rate of these patients was 3%. Nonviable intestinal resection was performed in 25 patients (8.4%), only 2 of whom underwent wound infection. Another 3 patients who developed wound infection had viable hernia content. There was no mesh-related infection. There was no statistically significant difference in wound infection rates between patients with viable hernia contents and those with nonviable contents ( P < .05). Conclusion. The use of the prosthetic mesh in the treatment of acute incarcerated inguinal hernia is safe and effective. Nonviable intestinal resection cannot be regarded as a contradiction of the mesh repair.

Retrorectus prosthetic mesh repair of midline abdominal hernia

1997 ◽  
Vol 173 (5) ◽  
pp. 445-449 ◽  
Author(s):  
David McLanahan ◽  
L.T. King ◽  
Charles Weems ◽  
Michael Novotney ◽  
Kathleen Gibson
Keyword(s):  
Mesh Repair ◽  
Prosthetic Mesh ◽  
Abdominal Hernia ◽  
Prosthetic Mesh Repair
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