Early outcome of incisional hernia repair using polypropylene mesh: A preliminary report

Udo, Isaac Assam; Bassey, EA; Abasiattai, AM

doi:10.4103/0300-1652.137197

Cited by 6 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Seroma collection is an inflammatory response[ 16 17 ] which intensity depends on the mesh-tissue area of contact; it is minimal with inguinal hernioplasty because the implanted mesh dimension is small and tissue dissection is minimal. Much of the seroma gets absorbed and does not require intraoperative placement of a drain but in the event of its occurrence postoperatively can be adequately treated by aseptic aspiration.…”

Section: Discussionmentioning

confidence: 99%

Resterilized Polypropylene Mesh for Inguinal Hernia Repair

2018

View full text Add to dashboard Cite

Purpose:The use of prosthetic biomaterials for reconstructing and reinforcing the posterior wall of the inguinal canal reduces the incidence of hernia recurrence. Cost, availability of mesh, and perhaps reluctance to adopt a new technique are factors which prevent widespread practice of hernioplasty in low-resource settings. Use of resterilized mesh significantly reduces the cost of hernioplasty and is safe.Patients and Methods:Sheets of 30 cm × 30 cm polypropylene mesh were cut into 16 cm × 8 cm to produce mesh strips which were repackaged into SELFSEAL® (Medical Action Industries Inc., USA) sterilizing pouches measuring 90 mm × 230 mm and autoclaved. At repair, the strips are shaped to fit the anatomy of the posterior wall of the inguinal canal, a slit created at one end and applied in Lichtenstein repair of inguinal hernias. Patients were monitored for seroma collection and wound infection up to 2 weeks postoperative period.Results:Sixty inguinal hernia repairs were done in 58 patients using the resterilized mesh; two cases being bilateral. One patient (1.7%) had seroma collection at 2 weeks which was aseptically aspirated. We did not record any case of wound infection.Conclusion:The use of sterilized polypropylene mesh for the repair of inguinal hernias is safe and reduced the cost of hernioplasty by reducing the cost of polypropylene mesh. This technique is recommended in low-resource settings.

show abstract

Section: Discussionmentioning

confidence: 99%

Resterilized Polypropylene Mesh for Inguinal Hernia Repair

2018

View full text Add to dashboard Cite

show abstract

“…4,5,6 Incisional hernias can present almost soon after the primary surgery or several years after. 4,5,10 The two cases reported here did not seek medical advice many years after the primary surgery, even though the swellings were noticed about a year after the primary surgery. Several authorities have reported that patients with incisional hernias only seek surgical repair because of physical discomfort or complications.…”

Section: Discussionmentioning

confidence: 85%

“…They opined that a balance between costly cutting-edge and affordable surgical practice as well as adequate training of general practitioners and surgical trainees, will result in a low postoperative complication profile and reduce the incidence of incisional hernias, which often present with complications. Udo et al 10 in a prospective report of the early outcome of incisional hernia repairs in Uyo, southern Nigeria, noted that only a few patients with incisional hernias seek medical advice. This trend, they attributed to the high cost of treatment and disappointment from previous failed surgeries and repairs.…”

Section: Discussionmentioning

confidence: 99%

Large Post-Surgical Incisional Hernias: Case Reports and a Review of Barriers Against Early Presentation and Refusal to Consent to Surgery

Ogbetere

2021

African Journal of Biology and Medical Research

View full text Add to dashboard Cite

Incisional hernias, otherwise known as postoperative ventral hernias, are post-surgical fascial defects in the abdominal wall through which fat and viscera protrude. They are preventable causes of morbidity and mortality commonly encountered in our environment. Only a few patients with incisional hernia seek medical advice and only a handful of them consent to a surgical repair, even in the presence of complications, due to the high cost of treatment and disappointment from previous surgery. In this case series, two patients with complicated large long-standing post-surgical incisional hernias, who declined surgical repairs are presented, and the barriers to early presentation and factors responsible for refusal to consent to surgery in sub-Saharan Africa reviewed.

show abstract

“…Indian J Case Reports 496 section [4][5][6][7]. Our patient had a history of laparotomy and total abdominal hysterectomy.…”

Section: Vol 4 | Issue 6 | Nov -Dec 2018mentioning

confidence: 99%

Rupture of an incisional hernia with evisceration of the gut: A case report

Edeh¹,

Uchendu²,

Nwangwu³

et al. 2018

IJCR

View full text Add to dashboard Cite

pontaneous rupture of the abdominal wall hernia is very rare and usually occurs in an incisional and recurrent groin hernia [1]. Despite our awareness of many causative factors and improvements in the surgical techniques and materials, iatrogenic abdominal wall hernia formation remains a significant problem in an abdominal wall surgery. An incisional hernia is known to occur in 11-23% of laparotomies [2].Commoner complications of such hernias include pain, discomfort, skin changes, bowel obstruction, incarceration, and strangulation. These tend to reduce the overall quality of life. Spontaneous rupture with the evisceration of a gut in an incisional hernia is very rare but represents a real surgical emergency. These hernias are of particular concern for their high recurrence rates and the challenges associated with their repair [3]. We report rupture of a large incisional hernia with the evisceration of small bowel in a 56-year-old female. DISCUSSIONAccording to most reports in Nigeria, the most common abdominal surgery leading to an incisional hernia was cesarean ABSTRZCT Spontaneous rupture of the abdominal wall hernia is very rare and usually occurs in incisional and recurrent groin hernias. Here, we report the case of rupture of a large incisional hernia with the evisceration of small bowel in a 56-year-old female. This surgical emergency was successfully managed using the current standard tension-free prosthetic mesh.

show abstract

Early outcome of incisional hernia repair using polypropylene mesh: A preliminary report

Cited by 6 publications

References 19 publications

Resterilized Polypropylene Mesh for Inguinal Hernia Repair

Resterilized Polypropylene Mesh for Inguinal Hernia Repair

Large Post-Surgical Incisional Hernias: Case Reports and a Review of Barriers Against Early Presentation and Refusal to Consent to Surgery

Rupture of an incisional hernia with evisceration of the gut: A case report

Contact Info

Product

Resources

About