scholarly journals POLYPROPYLENE MESH REPAIR IN ABDOMINAL WALL HERNIAS;

2017 ◽  
Vol 24 (10) ◽  
pp. 1566-1571
Author(s):  
Malik Azhar Hussain ◽  
Naveed Ashraf Malik

Objectives: To determine the beneficial out comes, recurrence rate andcomplications of the repair of abdominal wall hernia reinforced with polyprolene mesh. StudyDesign: This was a retrospective interventional quasi experimental study. Setting: Surgicaldepartments of Central Hospital and Prince Abdul Aziz Bin Musaad Hospital, Arar, SaudiArabia. Duration of Study: November 2012 to October 2016. Material and Methods: Adultpatients of both genders, who underwent repair for various abdominal wall hernias duringabove mentioned period, were included in the study. Their demographic data, relevant historyand physical examination, post-operative notes, prognosis and any complications, includingrecurrence, infection, adhesions, pain and mesh degradation were recorded in a pre-structuredquestionnaire. The data was then analyzed with standard statistical methods. Results: From atotal of 156 patients, 94 (60.3%) were males and 62 (39.7%) female between the age of 20 to75 years. There were relatively fewer complications, including seroma (12.8%), post-operativepain (9.6%), infection (3.8%), adhesions (0.6%) and no recurrence rate. The uneventful recoverywas observed in 73% of cases. Conclusions: Pure polypropylene mesh is economical than thenewer composite meshes for the open repair of abdominal wall hernia, is easily available andcaused relatively fewer complications with no recurrence rate.

Surgery ◽  
2016 ◽  
Vol 160 (6) ◽  
pp. 1508-1516 ◽  
Author(s):  
Steven T. Lanier ◽  
Jennifer E. Fligor ◽  
Kyle R. Miller ◽  
Gregory A. Dumanian

2008 ◽  
Vol 27 (6) ◽  
pp. 907-917 ◽  
Author(s):  
David A. Jamadar ◽  
Jon A. Jacobson ◽  
Gandikota Girish ◽  
Jefferson Balin ◽  
Catherine J. Brandon ◽  
...  

Author(s):  
Salih Tosun ◽  
Oktay Yener ◽  
Ihsan Metin Leblebici ◽  
Özgür Ekinci

Background-Aim: Parastomal hernias (PSH) are incisional hernias that must be classified separately from the other abdominal wall hernias. The high recurrence rate of PSH is the most important problem after suture repair or relocation of the stoma; whereas open or laparoscopic mesh repair results in much lower recurrence rates. The aim of this study is to investigate PSH predisposing factors, surgical repair methods, postoperative complications and recurrence in surgery practice. Methods: Patient demographics, operation time before the first surgery, operation method, and the recurrence rate seen in patients who underwent PSH surgery in a 10-year time/ period (2008-2018) were investigated  from the patient records. Except for emergency cases, 2 years of disease-free time was set for PSH surgery in malignant cases to be sure that no malignancy was present in the time of operation.  Results: 14 PSHs were treated surgically using mesh repair in all cases.  There were 6 male and 8 female patients with a mean age of 71.7 years (range:45-84;median:78). Open sublay polypropylene mesh placement technique was performed in 12 patients and intraperitoneal composite mesh (using either keyhole or Sugarbaker techniques) was placed laparoscopically in 2 patients. Superficial wound infections were developed in 4 patients (28.5 %) and 2 patients developed recurrence (14.2%). Conclusion: There is no effective method defined for the surgery of PSH but the laparoscopic approach has been proposed as a promising alternative to open technique as it causes less abdominal wall trauma. Whether performed open or laparoscopic; mesh repair is the optimal standard for PSH surgery.


Sign in / Sign up

Export Citation Format

Share Document