PMID: 16510903Mar 3, 2006Paper

Open plastic correction of postoperative hernia

Georgian Medical News
P M ChapidzeG V Khorbaladze

Abstract

Incisional hernia is a frequent complication of abdominal surgery. The use of prosthetic materials in open incisional hernia substantially repairs diminished rate of reherniation. The object of this study was the retrospective review of the first seventy open incisional hernia repairs performed at the Tbilisi Municipal Thoraco-Abdominal Clinic. Over a 3-year period 70 open abdominal wall incisional hernia repairs were performed using the retromuscular, preperitoneal, intraperitoneal and prefascial techniques. The prosthetic materials used were polypropylene, prolene and ePTFE. Recurrence rates were 2.8%, both patients had wound infections that required removal of prosthesis. There were no gastrointestinal complications, fistulas or death. Seromas occurred in eight patients (11.4%). Mean length of stay was 5.4 day. In these series open mesh repair had excellent results with minimal morbidity and hospital stay.

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