Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results

Peres, Marco Antonio de Oliveira; Aguiar, Herberti Rosique; Andreollo, Nelson Adami

doi:10.1590/s0100-69912014000200002

Cited by 12 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since then, a few dozens of other articles have been published in the medical literature describing a myriad of techniques to address this condition. For some time, in this anatomical area meshes were described to be placed either as an onlay, inlay, intraperitoneally, or in the plane between the external and internal oblique muscles [11][12][13][14]. One group reported on the placement of mesh between the transversus abdominis and the internal oblique muscle in patients with subcostal hernias [15].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Large Subcostal Hernias Treated With Open Anterior Components Separation or Open Transversus Abdominis Release Techniques

Espinosa-de-los-Monteros,

Fernandez-Alva,

Solis-Reyna

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Large subcostal incisional hernias are considered as complex defects, and a few different approaches have been described for repair. The purpose of this comparative cross-sectional study is to evaluate the outcomes of patients with large subcostal incisional hernias treated with either the open anterior components separation technique (ACS) or with the open transversus abdominis release technique (TAR). Methods: From the database of patients with large complex incisional hernias who underwent abdominal wall reconstruction with open techniques between April 2007 and October 2022 at our institution, on May 25th, 2023 we identified those whose hernias were located in the subcostal areas and who underwent reconstruction with a components separation technique and mesh. Perioperative variables and outcomes were compared between the patients with large subcostal hernias who underwent abdominal wall reconstruction with either the ACS or the TAR techniques. Results: Thirty-one patients with large subcostal hernias were included in the study. ACS and intra-abdominal mesh was used in 11 patients; TAR and retro-muscular mesh was performed in 20 patients. More postoperative local abdominal wall complications were seen in patients undergoing ACS as opposed to TAR (55% vs 15%, p=0.02). Hernia recurrence was more common in patients undergoing ACS as opposed to TAR (55% vs 5%, p=0.008). Conclusions: More post-operative complications and recurrences were seen in patients undergoing ACS as opposed to TAR.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Large Subcostal Hernias Treated With Open Anterior Components Separation or Open Transversus Abdominis Release Techniques

Espinosa-de-los-Monteros,

Fernandez-Alva,

Solis-Reyna

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The first reported use of tissue for hernioplasty is dated 1958 by Usher et al 16 , who used a polypropylene mesh. This remains the most used material 18 because it is safe and offers several advantages in its use, including its availability, easy handling, low cost and good tolerance 9 .…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Tissular Response After Abdominal Wall Repair Using Polypropylene Mesh and Bovine Pericardium Mesh

BAKRI¹,

Lovato²,

Klockner³

et al. 2021

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

Background: The use of polypropylene meshes for surgical repair of the abdominal wall contributes to a reduction of the of recurrence rates of hernias or defects. However, its intra-abdominal use comes along with the formation of adhesions and several complications. The study and the search for alternative materials, including bovine pericardium, have been regarded as an option for the correction and treatment of resulting hernias with better adaptations and effectiveness. Aim: Evaluating the inflammatory process of the bovine pericardium in comparison with the inflammatory process of synthetic polypropylene mesh. Method: Bovine pericardium mesh and polypropylene mesh were placed, both on the same animal. The first group had the mesh removed for analysis on day 20, and the second group on day 40. The variables congestion, granulation, giant cells, necrosis, acute inflammation, chronic inflammation and collagen were analyzed. Results: All variables were found in greater numbers as a response to the polypropylene mesh, except for the collagen, which, on day 40, was greater in response to the bovine pericardium mesh. Conclusion: The data in this study suggest that there is less inflammatory reaction in response to bovine pericardium mesh when compared to polypropylene mesh.

show abstract

“…Las eventraciones pueden surgir a partir de las incisiones subcostales derechas descritas por Kocher (de quien recibieron su nombre), en la sigue un margen costal, lo que proporciona una buena presentación de la vía biliar 4 .…”

Section: Introductionunclassified

Complex subcostal eventration: use of sac and prosthesis in resolution

Sepúlveda¹,

Rosales²,

Sepúlveda³

2021

Rev Hispanoam Hernia

View full text Add to dashboard Cite

show abstract

Surgical treatment of subcostal incisional hernia with polypropylene mesh - analysis of late results

Cited by 12 publications

References 20 publications

Comparison of Large Subcostal Hernias Treated With Open Anterior Components Separation or Open Transversus Abdominis Release Techniques

Comparison of Large Subcostal Hernias Treated With Open Anterior Components Separation or Open Transversus Abdominis Release Techniques

Comparative Analysis of Tissular Response After Abdominal Wall Repair Using Polypropylene Mesh and Bovine Pericardium Mesh

Complex subcostal eventration: use of sac and prosthesis in resolution

Contact Info

Product

Resources

About