Two cases about mesh adhesion to intra-abdominal cavity tissue after using mesh to repair incisional hernia

2018 ◽  
Vol 07 ◽  
Author(s):  
Xuefeng Xia ◽  
Xiaofeng Lu ◽  
Wenxian Guan
Keyword(s):  
Incisional Hernia ◽  
Abdominal Cavity

scholarly journals A Clinical Study of Incisional Hernia

2016 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sudhir Dnyandeo Bhamre ◽  
Nitin Devidas Pingale
Keyword(s):  
Risk Factors ◽  
Clinical Study ◽  
Incisional Hernia ◽  
Abdominal Cavity ◽  
Health Care Centre ◽  
Medical College ◽  
Suction Drain ◽  
Abdominal Operations ◽  
Unlimited Access ◽  
Hernia Incidence

<strong>Background:</strong> Incisional Hernias are common complication of andominal surgery. Depending on the risk factors Incisional Hernia can occure in 10 - 20 % of patients subjected to abdominal operations. <strong>Aims and Objective:</strong> A clinical study on risk factors, clinical prentations, management and post oprattive complications in patient with Incisional Hernia. <strong>Setting:</strong> Department of Surgery of a Tertiary Health Care Centre with an attached medical college. Material and Methods: A total of 43 patients of Incisional Hernia were studied and postoperative complications were evaluated in our institute. <strong>Results:</strong> Incidence of incisional hernia is more common in females than males and the overall M:F ratio is 1:2, 55.9 % of patients presented with swelling and pain. Incisional hernia incidence is high in lower abdominal incisions. <strong>Conclusions:</strong> The use of midline incision should be restricted to operations in which unlimited access to the abdominal cavity is necessary. Use of suction drain reducess post-oparative complication.

Bursting Strength Evaluation in an Experimental Model of Incisional Hernia

2007 ◽  
Vol 73 (7) ◽  
pp. 722-724 ◽  
Author(s):  
Paul A. Lucha ◽  
Crystal Briscoe ◽  
Harpreet Brar ◽  
James J. Schneider ◽  
Ralph E. Butler ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Incisional Hernia ◽  
Abdominal Cavity ◽  
Prosthetic Material ◽  
Sprague Dawley ◽  
Tissue Samples ◽  
Prolene Mesh ◽  
Bursting Strength ◽  
Handling Characteristics ◽  
Mesh Material

Incisional hernias occur in up to 11 per cent of patients undergoing abdominal surgery. Up to 50 per cent of these patients with hernias will require repeat operative procedures. Management of these hernias have focused primarily on tensile strength of the mesh material, have not addressed currently used materials, and have not compared the strength of these repairs with each other. Forty-nine adult Sprague–Dawley rats had an incisional hernia created by removing a portion of their abdominal wall that was then repaired primarily, using either a composite mesh, Dual mesh (Gore-Tex), or polypropylene mesh. Six weeks after the repair, the rats were euthanized. Hydrostatic distension of the abdominal cavity was performed to compare bursting strength of each repair. Wound tensile strength was assessed and compared. Tissue samples were also taken to compare repair types for incorporation of prosthetic materials. The gross weight of the animals subjected to hydrostatic distention was equivalent between groups, as was the volume required prior to failure of the repair. There was a trend toward improved tensile strength of the Prolene mesh repair, which had a lower average inflammatory and fibrosis score on histology. Overall, the type of mesh used for repair does not seem to impact significantly the strength of the repair when assessed 6 weeks postoperatively. Choice of prosthetic material to repair the hernia should be made based on economics and handling characteristics alone. Prolene mesh has satisfactory strength with the least amount of inflammation and fibrosis.

scholarly journals Delayed mesh infection and mesh penetrating the transverse colon and small intestine after abdominal incisional hernia repair

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Kodai Tomioka ◽  
Toshihiro Fujioka ◽  
Tohru Satoh ◽  
Hidetoshi Makita ◽  
Rika Tsukui ◽  
...  
Keyword(s):  
Small Intestine ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Transverse Colon ◽  
Late Onset ◽  
Abdominal Cavity ◽  
Mesh Fixation ◽  
Incisional Hernia Repair ◽  
Mesh Infection ◽  
Mesh Removal

Abstract The occurrence of late-onset mesh infection and mesh invasion into the intestine after abdominal incisional hernia repair is extremely rare. Herein, we describe the first case of late-onset mesh infection and mesh penetrating the transverse colon and small intestine 5 years after incisional hernia repair using an expanded polytetrafluoroethylene mesh. The symptom was drainage from the reddish wound, and computed tomography scan revealed intestinal prolapse with local wall thickening. The mesh removal and small intestine and colon resection were conducted because the small intestine and transverse colon formed a mass containing the mesh inside. The events were caused by the lack of mesh fixation, and the dislodged mesh penetrating the intestinal tract caused the infection. For mesh infections in which conservative treatment is not effective, mesh removal and organ excision should not be delayed regardless whether there is a strong adhesion of the abdominal cavity.

scholarly journals Two cases about mesh adhesion to intra-abdominal cavity tissue after using mesh to repair an incisional hernia

2017 ◽  
Vol 33 (4) ◽  
Author(s):  
Wenxian Guan ◽  
Xuefeng Xia ◽  
Xiaofeng Lu ◽  
Xing Kang ◽  
Ji Miao ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Cavity

scholarly journals Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Kemal Gökkuş ◽  
Tolgay Akin ◽  
Ergin Sagtas ◽  
Murat Saylik ◽  
Ahmet Turan Aydın
Keyword(s):  
Incisional Hernia ◽  
Abdominal Cavity ◽  
Abdominal Wall Reconstruction ◽  
Large Mass ◽  
Suture Materials ◽  
Fascial Defect ◽  
Iliac Region ◽  
Sciatic Notch ◽  
Vicryl Suture

Our patient was a 76-year-old female who has been operated on 2 times in 8 years for pelvic chondrosarcoma. The patient came to our clinic with a large mass in left iliac region which extended into the paravertebral area. Physical examination and preoperative imagining studies revealed a mass at the left iliac area that infiltrated sciatic notch and extended from posterior iliac region towards the anterior side of iliac bone through the sciatic notch and an incisional hernia including descending colon. The mass was also penetrating the abdominal cavity through the hernia. Surgical intervention was planned. Since the tumor infiltrated the sciatic nerve, hemipelvectomy was indicated. Patient refused hemipelvectomy. Therefore, palliative debulking surgery was considered. We treated the case with marginal excision and abdominal wall reconstruction employing prolene and vicryl suture materials in order to prevent a postoperative visceral herniation and local invasion. At the latest follow-up appointment in 2 years, the patient still had no signs of tumor recurrence. This case showed us that an incisional hernia can serve as a pathway for the recurrence invasion of the chondrosarcoma.

scholarly journals Preoperative Progressive Pneumoperitoneum Revisited

2021 ◽  
Vol 8 ◽  
Author(s):  
Kristen E. Elstner ◽  
Yusuf Moollan ◽  
Emily Chen ◽  
Anita S. W. Jacombs ◽  
Omar Rodriguez-Acevedo ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Botulinum Toxin A ◽  
Abdominal Cavity ◽  
Emergency Procedures ◽  
Open Abdominal Surgery ◽  
Risk Patients ◽  
Preoperative Progressive Pneumoperitoneum ◽  
Complementary Techniques ◽  
Free Closure ◽  
Ventral Hernias

Incisional hernia represents a common and potentially serious complication of open abdominal surgery, with up to 20% of all patients undergoing laparotomy subsequently developing an incisional hernia. This incidence increases to as much as 35% for laparotomies performed in high-risk patients and emergency procedures. A rarely used technique for enabling closure of large ventral hernias with loss of domain is preoperative progressive pneumoperitoneum (PPP), which uses intermittent insufflation to gradually stretch the contracted abdominal wall muscles, increasing the capacity of the abdominal cavity and allowing viscera to re-establish right of domain. This assists in tension-free closure of giant hernias which may otherwise be considered inoperable. This technique may be used on its own, or in conjunction with preoperative Botulinum Toxin A to confer paralysis to the lateral oblique muscles. These two complementary techniques, are changing the way complex hernias are managed.

scholarly journals Comparative study between two techniques of incisional hernia repair with polypropylene mesh in rabbits

2010 ◽  
Vol 25 (5) ◽  
pp. 423-427 ◽  
Author(s):  
José Guilherme Minossi ◽  
Carlos Antonio Caramori ◽  
Celso Vieira de Souza Leite ◽  
Luiz Eduardo Naresse
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Polypropylene Mesh ◽  
Breaking Strength ◽  
Abdominal Cavity ◽  
Incisional Hernia Repair ◽  
Study Groups ◽  
Morphometric Parameters ◽  
Mesh Reinforcement ◽  
Repair Techniques

PURPOSE: To compare two different incisional hernia repair techniques (repair with a polypropylene mesh reinforcement on the peritonium-aponeurosis versus polypropylene mesh sutured to the borders of the hernial ring as a bridge) in rabbits. METHODS: Incisional hernia was experimentally developed through a 4-cm median incision in 60 rabbits. After 30 days, half of the animals were operated for primary wall closure and placement of a polypropylene mesh reinforcement, while the other half had a polypropylene mesh sutured to the borders of the hernial ring as a bridge. Clinical development, scar breaking strength, as well as gross, microscopic and morphometric parameters were evaluated in all animals 30, 60, and 90 days after repair. RESULTS: No significant differences in breaking strength or histological parameters were observed between groups at any time point studied. No statistical difference regarding complications was detected, although denser and firmer adhesions to the abdominal wall were seen after the mesh was placed as a " bridge" . CONCLUSIONS: No significant differences between the incisional hernia repair techniques assessed were observed regarding breaking strength, and histological and morphometric parameters. The number of complications was similar in both study groups. However, adhesion of abdominal cavity organs to the scar area was much denser after the placement of a mesh to bridge the defect.

ONE OF THE METHODS OF PREVENTING THE OCCURRENCE OF POSTOPERATIVE VENTRAL HERNIAS

Vestnik ◽  
2021 ◽  
pp. 395-398
Author(s):  
В.М. Мадьяров ◽  
М.С. Малгаждаров ◽  
Г.Р. Жапбаркулова
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Incisional Hernia ◽  
General Condition ◽  
Postoperative Period ◽  
Abdominal Cavity ◽  
Hernia Sac ◽  
Severe Intoxication ◽  
Adhesive Obstruction ◽  
Ventral Hernias

Снижение количества коллагена первого типа, существенно влияет на развитие ПВГ. Снизить частоту развития послеоперационных вентральных грыж можно вследствие раннего диагностирования факторов риска снижения коллагена на амбулаторном этапе подготовки к лапаротомии. Чем раньше сделана операция, тем меньше выражены изменения в тканях и органах, а само хирургическое вмешательство является менее сложным и более эффективным. При гладком течении и заживлении после первой операции можно оперировать послеоперационную грыжу спустя 6-8-10 месяцев в зависимости от вида и обширности первого вмешательства, общего состояния больного, величины и динамики роста грыжевого выпячивания. При склонности к ущемлению, а также при развивающемся синдроме спаечной непроходимости следует оперировать в возможно ранние сроки. Если в анамнезе есть указания на тяжело протекавший послеоперационный период в связи с обширным нагноением в ране, длительной тампонадой брюшной полости, тяжелой интоксикацией, перитонитом либо весьма длительным пребыванием в стационаре по поводу релапаротомии, следует выждать больший срок, примерно 12-18 месяцев. На это время надо назначить больному определенный режим, принять меры к улучшению общего состояния, уменьшению страданий в связи с развитием спаечного процесса в грыжевом мешке и в брюшной полости. По показаниям следует рекомендовать ношение хорошо прилаженного бандажа. Тhe decrease in the amount of collagen of the first type significantly affects the development of PVG. It is possible to reduce the incidence of postoperative ventral hernias due to early diagnosis of risk factors for collagen loss at the outpatient stage of preparation for laparotomy. The earlier the operation, the less pronounced changes in tissues and organs, and the surgery itself is less complex and more effective. When you smooth over and heal after the first operation can be operated incisional hernia after 6-8-10 months depending on the type and extensiveness of the first intervention, the patient's General condition, size and growth of hernial protrusion. With a tendency to infringement, as well as with the developing syndrome of adhesive obstruction, it is necessary to operate as early as possible. If in the history there are indications of a difficult postoperative period due to extensive suppuration in the wound, prolonged tamponade of the abdominal cavity, severe intoxication, peritonitis or a very long stay in the hospital for relaparotomy, you should wait a longer period, about 12-18 months. At this time, it is necessary to assign the patient a certain regime, take measures to improve the General condition, reduce suffering in connection with the development of adhesions in the hernia SAC and in the abdominal cavity. According to the indications, it should be recommended to wear a well-adjusted bandage.

scholarly journals Abdominal cavity myolipoma presenting as an enlarging incisional hernia

2006 ◽  
Vol 1 (1) ◽  
pp. 7-12
Author(s):  
Mark O. Moore ◽  
Michael L. Richardson ◽  
Brian P. Rubin ◽  
Geoffrey S. Baird
Keyword(s):  
Incisional Hernia ◽  
Abdominal Cavity
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