scholarly journals Enterocutaneous fistula 30 years after prosthetic mesh repair of ventral hernia

2017 ◽  
Vol 8 (3) ◽  
pp. 227
Author(s):  
Arron J. Gravina ◽  
Joshua A. Cuoco ◽  
Edward H. Cussatti
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Enterocutaneous Fistula ◽  
Prosthetic Mesh ◽  
Prosthetic Mesh Repair

scholarly journals Role of Mesh Repair in incisional hernia

2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Muhammad Ishaque Khan ◽  
Gulzar Ahmed ◽  
Gulzar Ahmad Malik ◽  
Muhammad Muneer ◽  
Atiq Ur Rehman
Keyword(s):  
Incisional Hernia ◽  
Mesh Repair ◽  
Enterocutaneous Fistula ◽  
Case Series ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Prosthetic Mesh ◽  
Prosthetic Repair ◽  
Case Series Study ◽  
Series Study

Surgery Design: A case series study Purpose: 1) To study the protocol for repair of incisional hernia. 2) To compare different other methods of repair given in literature with prosthetic mesh repair in terms of advantages / disadvantages of the prosthetic repair. Suit & period: The study was conducted in Surgical Unit, Bahawal Victoria Hospital, Bahawalpur from August 19, 1997 to January 31, 2000. Material & method: This was a prospective type of case series study. Selection criteria of the patients in this study was that all adult patients of either sex being diagnosed as the case of incisional hernia and have undergone repair by the prosthetic mesh during this study period were included in the study. A record of patient`s data, previous surgery, the size of the defect, which gives idea about indication for surgery, was noted. A record of their postoperative course and a follow-up for four months was made. Results: In this study we have included 23 patients. Out of these 15 were female and 8 were male. The age was ranging from 28 - 65 years, with an average of 43 years. Patients presented with pain/ discomfort, Gradual increase in size of defect and unacceptable appearance in all patients, sub acute obstruction in 3 patients, Intestinal obstruction in 2 patients & Skin ulceration in 2 patients. Ten patients had got uneventful satisfactory post-operative course. Six patients developed wound infection; one patient developed seroma & was cured by needle aspiration & antibiotic. Five patients developed sinus. 2 of them cured without any surgical intervention with antiseptic dressings and antibiotics after culture and sensitivity. 3 needed exploration, 2 of them cured satisfactorily but in 1 patient because of continuing infection mesh was removed after one year and recurrence took place. No mortality, enterocutaneous fistula or haematoma was noted. One patient developed MY D.V.T. and was managed by Medical advice. Conclusion: Although wide variety of procedures has been adopted for recurrent ventral hernia repair. The prosthetic repair with prolene mesh is most cost effective and efficient method of dealing with incisional hernia.

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.

Sign in / Sign up

Export Citation Format

Share Document