Life-threatening complications after abdominal wall reconstruction in a difficult patient with giant incisional hernia (clinical case analysis)

2019 ◽  
pp. 63-68
Author(s):  
V. V. Parshikov ◽  
V. P. Gradusov ◽  
V. P. Kozlova ◽  
V. G. Firsova ◽  
M. A. Sechkina
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Clinical Case ◽  
Abdominal Wall Reconstruction ◽  
Case Analysis ◽  
Difficult Patient ◽  
Life Threatening

scholarly journals Abdominal Wall Reconstruction with a Free Fibula Flap after Internal Extended Hemipelvectomy

2020 ◽  
Vol 53 (01) ◽  
pp. 131-134
Author(s):  
Pedro C. Cavadas ◽  
Daniela Téllez-Palacios
Keyword(s):  
Postoperative Complications ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Malignant Tumors ◽  
Abdominal Wall Reconstruction ◽  
Morbidity And Mortality ◽  
Significant Morbidity ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

AbstractMajor pelvic resections for malignant tumors are infrequent and have significant morbidity and mortality, for instance, incisional hernias are postoperative complications uncommonly reported probably because most cases are overshadowed by more serious complications. Reconstruction depends on the extent of the resection and overall prognosis of the patient. A case of a late complex hypogastric and femoral incisional hernia after extended hemipelvectomy for recurrent osteosarcoma treated with distal abdominal wall fixation into a free fibula flap is reported.

Abdominal wall reconstruction for large incisional hernia restores expiratory lung function

Surgery ◽  
2017 ◽  
Vol 161 (2) ◽  
pp. 517-524 ◽  
Author(s):  
Kristian K. Jensen ◽  
Vibeke Backer ◽  
Lars N. Jorgensen
Keyword(s):  
Lung Function ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Large Incisional Hernia

scholarly journals EP.TH.108A Descriptive Case Series of Incisional Hernia Repair Using Dual Mesh Technique

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Chloe Theodorou ◽  
Zia Moinuddin ◽  
David Van Dellen
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction ◽  
Surgical Techniques ◽  
Case Series ◽  
Incisional Hernia Repair ◽  
Fistula Formation ◽  
Mesh Technique ◽  
Dual Mesh

Abstract Aims Incisional hernias are a common complication after surgery that cause significant patient morbidity. Symptomatic patients are offered repair but many surgical techniques exist, with abdominal wall reconstruction becoming preferable for large complex defects. This paper describes our experience of abdominal wall reconstruction using a dual mesh technique. Method 22 patients underwent incisional hernia repair between March 2019 and September 2020. All patients received dual mesh, placed in retrorectus or transversalis fascial/retromuscular space. Absorbable BIO-A GORE mesh was used with a polypropylene mesh above. All patients were followed up to assess for complications and recurrence. Results No patients experienced fistula formation, long-term pain or obstructive symptoms. We report one true hernia recurrence (4.5%) and one case of infected mesh (4.5%), these both await further treatment. One patient had a proven wound infection which resolved with conservative treatment. 4 patients (18.2%) experienced seromas, 3 of these resolved spontaneously, one requiring image-guided drainage. Conclusion Incisional hernia repair using combination polypropylene and bio-absorbable mesh provides a safe and effective repair with low recurrence and incidence of surgical site occurrences in the short term. Longer follow up and further studies are needed to evaluate this mesh technique to support ongoing use of absorbable meshes in complex hernia repair.

Abdominal Wall Reconstruction for Incisional Hernia Optimizes Truncal Function and Quality of Life

2017 ◽  
Vol 265 (6) ◽  
pp. 1235-1240 ◽  
Author(s):  
Kristian K. Jensen ◽  
Kanzah Munim ◽  
Michael Kjaer ◽  
Lars N. Jorgensen
Keyword(s):  
Quality Of Life ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Reconstruction

SP7.2.4 Evaluation of Non-crosslinked Acellular Porcine Dermal Mesh – A Single Centre Experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Rama Karri ◽  
Amaar Aamery ◽  
Deepak Singh-Ranger
Keyword(s):  
Chronic Pain ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Parastomal Hernia ◽  
Abdominal Wall Reconstruction ◽  
Hernia Recurrence ◽  
Biological Mesh ◽  
Ease Of Use ◽  
Secondary Outcome ◽  
Retrospective Case

Abstract Aims We report our experience with a cellular porcine dermal non-crosslinked biological mesh (EGIS®). We conducted a review of indications and outcomes of patients requiring the mesh for incisional hernia/complex abdominal wall reconstruction with component separation, parastomal hernia repairs and ELAPE. Patients were followed for a minimum of 6 and assessed for recurrence, seroma formation and chronic pain. Secondary outcome was the assessment of ease of use by the Surgeon – suturing and pliability. Method A retrospective case notes review of patients requiring biological mesh (EGIS®) from 2016 to present. A qualitative survey about ease of use of EGIS® for operations studied was sent to all Consultant Surgeons. Results EGIS® mesh was used in 38 patients: 23 Hernia repairs – 13 Incisional, 8 Parastomal, 2 Paraumbilical; 12 Pelvic floor repairs after ELAPE; and 3 abdominal wall reconstructions. Hernia recurrence occurred in 12 (32%), seroma 7 (18%) and chronic pain 7 (18%). The highest complications occurred in the incisional and parastomal hernia groups. Incisional hernia: recurrence in 5 (38%), seroma in 5 (38%) and chronic pain in 3 (23%). Parastomal hernia: recurrence in 3 (38%), chronic pain 2 (25%), seroma 1 (13%). Consultants scored the mesh 4.3 to 4.5 out of 10 for pliability, ease of use and suturing. Conclusion Biological mesh is used to reinforce hernia repairs in contaminated or potentially contaminated fields. Non-crosslinked meshes are preferred for their greater cellular infiltration from host tissue with improved integration. Our experience with this mesh shows a high complication rate and requires re-evaluation.

scholarly journals early experience with the use of prosthetic mesh as fascia replacement in structural abdominal wall reconstruction

2007 ◽  
Vol 40 (02) ◽  
pp. 164-169
Author(s):  
I A Adigun ◽  
J K Olabanji ◽  
A O Oladele ◽  
O O Lawal ◽  
G H Alabi
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Bowel Resection ◽  
Anterior Abdominal Wall ◽  
Enterocutaneous Fistula ◽  
Abdominal Wall Reconstruction ◽  
Early Experience ◽  
Prosthetic Mesh ◽  
Abdominal Wall Defects ◽  
Black Patients

ABSTRACT Background: Abdominal wall defects occur from various causes and require reconstruction. autogenous tissue is often insufficient and incisional hernia often results. prosthetic mesh is a proven substitute to autogenous tissue but reports on its use is uncommon in our practice environment.Aim: the aim is to report our early experience with the use of prosthetic mesh in black patients in our practice environment.Materials and methods: the summaries of three patients with anterior abdominal wall defects which were managed with the use of a prosthetic mesh are presented as well as their intraoperative and postoperative photographs. one patient had intraperitoneal placement of the mesh and developed no complications.Results: one patient who had bowel resection developed a postoperative enterocutaneous fistula away from the site of the mesh and was managed conservatively. other patients had no complications.Conclusions: the use of prosthetic mesh is recommended.

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