J G Han1, S Z Ma, J K Song, Z J Wang. 1. Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, 8 Baijiazhuang Lu, Chaoyang District, Beijing 100020, China. hjg512@hotmail.com
Abstract
OBJECTIVE: The objective of this study was to summarize the clinical experiences in repairing abdominal incisional hernia with prosthetic materials. METHODS: Eighty-three patients with ventral hernia were analyzed retrospectively. RESULTS: Two patients developed pulmonary infection, one developed adhesive ileus, and five developed wound infection. All wounds healed completely during follow-up. Seventy-three (88%) patients were free of pain, and ten patients (12%) felt pain in the operated area within the last month; only one patient required pain-relieving drugs. Twenty-nine patients (35%) felt discomfort, such as stiffness. Four cases experienced postoperative recurrence. CONCLUSIONS: Incisional herniorrhaphy with prosthetic materials is safe and effective but has a high discomfort rate. Open giant incisional hernia or recurrent incisional hernia should be performed by trained surgeons. Placing mesh in a suitable position and using a patch with minimal reaction and enough tensile strength may improve the prognosis. Further studies are necessary utilizing light polypropylene mesh.
OBJECTIVE: The objective of this study was to summarize the clinical experiences in repairing abdominal incisional hernia with prosthetic materials. METHODS: Eighty-three patients with ventral hernia were analyzed retrospectively. RESULTS: Two patients developed pulmonary infection, one developed adhesive ileus, and five developed wound infection. All wounds healed completely during follow-up. Seventy-three (88%) patients were free of pain, and ten patients (12%) felt pain in the operated area within the last month; only one patient required pain-relieving drugs. Twenty-nine patients (35%) felt discomfort, such as stiffness. Four cases experienced postoperative recurrence. CONCLUSIONS: Incisional herniorrhaphy with prosthetic materials is safe and effective but has a high discomfort rate. Open giant incisional hernia or recurrent incisional hernia should be performed by trained surgeons. Placing mesh in a suitable position and using a patch with minimal reaction and enough tensile strength may improve the prognosis. Further studies are necessary utilizing light polypropylene mesh.
Authors: Parvinder S Sains; Henry S Tilney; Sanjay Purkayastha; Ara W Darzi; Thanos Athanasiou; Paris P Tekkis; Alexander G Heriot Journal: World J Surg Date: 2006-11 Impact factor: 3.352