Comparison of Results of Dual Mesh Hernioplasty and Omental Interposition Polypropylene Mesh Hernioplasty in Incisional Hernias

Morgagni hernia occurs after a congenital retrosternal diaphragmatic defect; it is a rare form of diaphragmatic hernia (1-3% of cases). In general, this pathology is diagnosed in children; in adults it is frequently discovered in emergency or incidentally. Methods: We prospectively evaluated a series of 6 patients admitted to department of surgery IGIMS. Results: Out of 6 patients the laparoscopic approach was used in all cases: one conversion was recorded due to the tight adherences of the herniated viscera (gastric, colon, epiplon). In 4 cases, the surgical cure of hernia was performed by suture and in 2 cases with prosthesis: dual mesh in one case and polypropylene mesh in another case. We did not register morbidity and the mean postoperative stay was 4 days (range 2-6 days). Conclusions: Hernia Morgagni betrays a rare pathology. The most common is asymptomatic but in complicated cases it is a cause of acute surgical abdomen. Surgical treatment is indicated even for asymptomatic cases due to serious complications Morgagni hernia may develop. The laparoscopic approach is ideal, as reduction of viscera in the abdomen is easy and the defect will be repaired by suturing or using a prosthesis, depending on its size.

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Is Repair of Incisional Hernias by Polypropylene Mesh a Safe Procedure?

Medical Principles and Practice ◽

10.1159/000273074 ◽

2010 ◽

Vol 19 (2) ◽

pp. 129-132 ◽

Cited By ~ 3

Author(s):

Mehmet Yildirim ◽

Omer Engin ◽

Mehmet Karademir ◽

Abdurrahman Hoser ◽

Bulent Calik

Keyword(s):

Polypropylene Mesh ◽

Safe Procedure ◽

Incisional Hernias

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Pre peritoneal mesh hernioplasty for incisional hernias

Indian Journal of Surgery ◽

10.1007/s12262-009-0014-7 ◽

2009 ◽

Vol 71 (1) ◽

pp. 52-53

Author(s):

Iqbal Saleem ◽

Anjum Malik

Keyword(s):

Incisional Hernias ◽

Mesh Hernioplasty

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Giant Incisional Hernias Closed with Polypropylene Mesh

Scandinavian Journal of Plastic and Reconstructive Surgery ◽

10.3109/02844318609006305 ◽

1986 ◽

Vol 20 (1) ◽

pp. 119-121 ◽

Cited By ~ 4

Author(s):

Hanne Kjeldsen ◽

Bodil N. Gregersen

Keyword(s):

Polypropylene Mesh ◽

Incisional Hernias

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INTRAPERITONEAL MESH PLASTY

The Professional Medical Journal ◽

10.29309/tpmj/2010.17.03.2473 ◽

2010 ◽

Vol 17 (03) ◽

pp. 360-365

Author(s):

FAKHAR ILYAS MALIK ◽

TAHIR IQBAL MIRZA

Keyword(s):

Incisional Hernia ◽

Polypropylene Mesh ◽

Mesh Repair ◽

Operating Time ◽

Mesh Placement ◽

Incisional Hernias ◽

Intraperitoneal Mesh ◽

Intraperitoneal Mesh Placement ◽

Morbid Conditions

Background: Incisional hernia is a common surgical condition with a reported incidence of 2-11% following laparotomy. Various Modalities of Repair have been advocated but the overall results still remain disappointing. Objective: To evaluate in incisional Hernias the efficacy and safety of Intraperitoneal mesh repair with conventional Polypropylene Mesh. Setting: In CMH Muzaffarabad, CMH Sialkot and PAC Hospital Kamra. Period: From January 2000 to January 2007. Materials & Methods: 90 cases of Incisional hernia with a minimal defect size of 4 inches were included; there was no limitation to age and sex. Patients with Co morbid conditions like Diabetes Mellitus, Hypertension, Bronchial Asthma, and Ischemic Heart Disease etc: were also included if there was no other contraindications for Surgery. Observations were made with regard to duration and ease of the operation, wound complications, hospital stay, recurrence and delayed complications. Results: In our series of 90 patients, Females (92.22%, n= 83) outnumbered males (7.77%, n=7) and the highest incidence was in the 4th decade of life in females and the 3rd decade of life in males. Gynecological operations accounted for 61.44% (n=51) of the index operations. 77.7% (n=70) ofpatients had a BMI >30. Co morbid Conditions were present in 36.66% (n=33) of patients. The polypropylene mesh placed Intra peritoneal varied from 15×7.5 cm to 30×20 cm. The mean operating time was 60±20 minutes; operating time was extended when the procedure was accompanied by Dermolipectomy 80±10 minutes. 85.55% patients (n=77) attended our follow-up, ranging from 12 months to five years.Method of follow-up in outpatients department (OPD)/Clinics: 71.11%(n=64), by telephonic conversation: 12.22%(n=11). 14.44% (n=13) were lost in follow up. All patients in followup had serial abdominal sonograms at 3, 6, 9 and 12 months postoperatively respectively to evaluate bowel motility, adhesion formation and any locally associated complication. No recurrence was noted in the follow-up group. Conclusions:Historically intraperitoneal Mesh placement of conventional polypropylene has been avoided as it was associated with significant postoperative complications. Based on our analysis, we believe that intraperitoneal mesh repair is still an effective option for Incisional hernias, especially in difficult cases and with patients having co morbid conditions. The associated high incidence of complications associated with intraperitoneal mesh placement in the literature were not seen in our experience.

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Preperitoneal mesh repair in incisional hernia: a prospective study

International Surgery Journal ◽

10.18203/2349-2902.isj20205346 ◽

2020 ◽

Vol 7 (12) ◽

pp. 3994

Author(s):

Uma Dhanasekaran ◽

Ramesh Arumugam

Keyword(s):

Incisional Hernia ◽

Prospective Study ◽

Polypropylene Mesh ◽

Mesh Repair ◽

Incisional Hernias ◽

Post Surgery ◽

Operative Complications ◽

A Prospective Study ◽

Post Operative Complications

Background: Incisional hernia is a common surgical condition encountered in day to day practice. Based on national operative statistics, incisional hernias account for 15 to 20% of all abdominal wall hernias. Of all hernias encountered incisional hernias can be the most frustrating and challenging to treat. This prospective study aims to assess the efficacy of preperitoneal mesh repair technique using polypropylene mesh in the management of incisional hernia.Methods: A total of 40 patients with incisional hernia undergone open preperitoneal polypropylene mesh repair. It had evaluated for post-operative complications and recurrence for six months to one-year post-surgery. The results had tabulated statistically analysed and compared with other published reports in the literature.Results: Out of 40 patients, the size of the defect, 10 patients had less than 2 cm, 28 patients had between 2.1-4 cm, 1 patient between 4.1-6 cm and 1 patient between 6.1-8 cm. The type of hernia, 32 patients had infra umbilical hernia, and 8 patients had a supraumbilical hernia. Post-operative complication 3 patients had seroma, 1 patient had edge necrosis, 1 patient had post-op ileus, and 1 patient had chronic pain. Based on follow up, 4 patients had followed until 6 months, 10 patients till 9 months and 26 patients till one year.Conclusions: Post-operative complications following open preperitoneal polypropylene mesh repair are considerably less compared to other techniques of mesh repair and showed no recurrence among its subjects during the follow-up period, and longer follow-up is required to draw a definitive conclusion.

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Incisional hernia swine: Case report

Research Society and Development ◽

10.33448/rsd-v10i3.13727 ◽

2021 ◽

Vol 10 (3) ◽

pp. e55310313727

Author(s):

Mirlam de Oliveira Sampaio Júnior ◽

Ana Karoline Rodrigues da Costa ◽

Danilo Rocha de Melo ◽

Marcos Wilker da Conceição Santos ◽

Jéssica Fontes Veloso ◽

...

Keyword(s):

Wound Healing ◽

Incisional Hernia ◽

Polypropylene Mesh ◽

Umbilical Hernia ◽

Ultrasound Examination ◽

Surgical Wound ◽

Incisional Hernias ◽

Synthetic Materials ◽

Mixed Breed ◽

One Year

The occurrence of incisional hernias in pigs is poorly described, so the objective of the study is to report a case of incisional hernia in pig treated with polypropylene mesh. A 1 year old male, mixed breed pig weighing 22 kg was treated at the HVU-UFOB. During the anamnesis, the owner reported that the animal had swelling in the abdominal region, having a suggestive diagnosis of umbilical hernia, confirmed by ultrasound. In view of the findings, it was decided to perform herniorrhaphy with direct suture. Ten days after surgery, adequate healing of the surgical wound was verified with the absence of a hernial ring. Fifty-one after surgery, the animal returned with an increase in abdominal volume at the surgery site. On physical examination, the presence of a 12 cm ring and reducible intestinal loops in the hernial sac were identified. After a new ultrasound examination, the diagnosis of incisional hernia was defined. A new herniorrhaphy with polypropylene mesh was chosen. After 10 days, the wound healing was verified. Incisional hernias in pigs are generally related to the animal's age, sex, breed and species, as well as flaws in the surgical technique. Biological or synthetic materials are used for the correction, in order to reinforce safety in the incision line. One year after herniorrhaphy, there was no recurrence, which shows a satisfactory result with the use of the polypropylene mesh.

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