The omentum–polypropylene sandwich technique: an attractive method to repair large abdominal-wall defects in the presence of contamination or infection

Bleichrodt, R. P.; Malyar, A. W.; Reilingh, T. S. de Vries; Buyne, Otmar R.; Bonenkamp, Han J.; Goor, Harry van

doi:10.1007/s10029-006-0174-3

Cited by 17 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The difficulty in defining the margins of the fascial defect, the weakness of the involved structures, the involvement of a bone element and lack of surgical experience are all taken into consideration during surgical planning. Bleichrodt et al used omentum polypropylene sandwich in presence of infection with good results [11]. Very less literature is available on using sandwich technique for repair of lumbar hernia.…”

Section: Discussionmentioning

confidence: 99%

Sandwich technique of closure of lumbar hernia: A novel technique

Sahoo¹,

T²

2013

IJCRI

View full text Add to dashboard Cite

Background: Lumbar hernia is a rare hernia which accounts for less than 1.5% of total hernia incidence. Only about 300 cases have been reported in literature. Lumbar hernia herniates through the superior or inferior lumbar triangle. Herniation through inferior triangle is more common, probably due to variable attachment of external oblique and latissimus dorsi to iliac crest. If they are closely attached then this triangle is not present and no hernia occurs. Case Series: We present our experience of four cases of lumbar hernias over a period of two years. All patients presented with gradually enlarging swelling in the loin which enlarged in size on coughing and straining. Two of them presented with multiple small ulceration over the swelling. Examination revealed swelling in the lumbar region with positive cough impulse, incomplete reducibility, and bowel sounds on auscultation.Ultrasound and computed tomography (CT) scan revealed hernia in right lumbar region in all cases. Transverse skin incision was given over the hernia. After dissection in layers, the sac was separated and

show abstract

Section: Discussionmentioning

confidence: 99%

Sandwich technique of closure of lumbar hernia: A novel technique

Sahoo¹,

T²

2013

IJCRI

View full text Add to dashboard Cite

show abstract

“…For repair of lumbar hernia, very less literature is available on using sandwich technique. [12] In our case, we have provided strength to the defect by new technique of sandwiching two prolene mesh between layers of abdomen and got good result.…”

Section: Discussionmentioning

confidence: 99%

Sandwich Technique of Repair of Primary Lumbar Hernia: A New Method

Bhondave¹

2017

JMSCR

View full text Add to dashboard Cite

Lumbar hernia is a rare entity. It occurs through posterolateral abdominal wall defects. It can be congenital or acquired. We report a 60 years old female patient who presented to our hospital with a right upper lumbar hernia. She underwent repair with a new sandwich technique and had a smooth postoperative course. There is no recurrence during 1 year of follow up. It is a novel idea to strengthen the defect by new technique of sandwiching two prolenemesh between layers of abdomen.

show abstract

“…However, other authors have reported fistula rates as high as 75% [33]. Some authors report success in lowering fistula and mesh (PP) infection rates by placement of omentum between the bowel and the mesh in contaminated abdominal wall defects caused by necrotizing fasciitis after radical debridement [35]. Because of these complications, the placement of nonabsorbable synthetic mesh in the setting of an active infection usually is a temporary measure, and the mesh is removed prior to definitive fascia-to-fascia closure.…”

Section: Non-absorbable Synthetic Meshmentioning

confidence: 99%

Options for Closure of the Infected Abdomen

Turza

Campbell

Rosenberger

et al. 2012

Surgical Infections

View full text Add to dashboard Cite

Background: The infected abdomen poses substantial challenges to surgeons, and often, both temporary and definitive closure techniques are required. We reviewed the options available to close the abdominal wall defect encountered frequently during and after the management of complicated intra-abdominal infections. Methods: A comprehensive review was performed of the techniques and literature on abdominal closure in the setting of intra-abdominal infection. Results: Temporary abdominal closure options include the Wittmann Patch, Bogota bag, vacuum-assisted closure (VAC), the AbTheraÔ device, and synthetic or biologic mesh. Definitive reconstruction has been described with mesh, components separation, and autologous tissue transfer. Conclusion: Reconstructing the infected abdomen, both temporarily and definitively, can be accomplished with various techniques, each of which is associated with unique advantages and disadvantages. Appropriate judgment is required to optimize surgical outcomes in these complex cases.

show abstract

The omentum–polypropylene sandwich technique: an attractive method to repair large abdominal-wall defects in the presence of contamination or infection

Abstract: The omental sandwich technique is an attractive method to repair large abdominal wall defects in the presence of contamination or overt infection.

Cited by 17 publications

References 9 publications

Sandwich technique of closure of lumbar hernia: A novel technique

Sandwich technique of closure of lumbar hernia: A novel technique

Sandwich Technique of Repair of Primary Lumbar Hernia: A New Method

Options for Closure of the Infected Abdomen

Contact Info

Product

Resources

About