The Surgical Results of Onlay Mesh Repair for Incisional Hernia

Kaya, Bülent

doi:10.4328/jcam.832

Cited by 3 publications

(3 citation statements)

References 14 publications

(16 reference statements)

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“…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

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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.

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Section: Discussionmentioning

confidence: 99%

Resterilized Polypropylene Mesh for Inguinal Hernia Repair

2018

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“…That most patients in our series presented with recurrent hernias within six months of a previous suture repair strongly suggests technical failure of such repairs; late recurrence occurs at five years and is usually caused by defective healing. 3 22 23 Suture repair of incisional hernia is still practiced 24 but often leads to fascial tension with the suture eventually cutting through the fascia and ultimately leading to recurrence rates of 30-50%. It was our observation that all the failed repairs did not show evidence of having dissected and employing the fascial layer.…”

Section: Discussionmentioning

confidence: 99%

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

2014

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Background:The use of prosthetics for open repair of incisional hernia is very recent in our practice. We highlight our experience repairing incisional hernias with polypropylene mesh.Patients and Methods:Patients presenting with incisional hernia >5 cm in length or width received open polypropylene mesh repair and were followed for two years. Data obtained included age, sex, primary surgery causing the hernia, the length of the fascial defect and previous attempts at repair. Post-operative wound complications were recorded. The integrity of the scar and patient satisfaction or concerns with the repair was assessed at each visit.Results:Nineteen females with a mean age of 35 years (range 30-54) underwent repair; most arising from obstetric or gynaecological procedures. Sixteen (82.2%) had midline, 2 (10.5) transverse and 1 (5.3) Pfannenstiel scars. One patient had no previous repair (R0), 7 had undergone one repair (R1), 9 had undergone two repairs (R2) and 1 had three previous repairs (R3). The length of fascial defects ranged from 8 to 18 cm and seroma collection and stitch sinus were the common problems encountered. Two (10.5%) recurrences were recorded in two years.Conclusion:Open mesh repair of incisional hernia carries a low risk of infection and recurrence in two years.

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“…10 Open incisional hernia repair with mesh are prone to developed wound complication like seroma formation and wound infection leading to increased morbidity. 11,12 This study aimed to compare the outcomes between two popular methods of mesh placement technique (onlay vs. sublay) in the patients who underwent incisional hernia repair in the local setup.…”

Section: Introductionmentioning

confidence: 99%