PATHOLOGIC AND CLINICAL ASPECTS OF LARGE INCISIONAL HERNIA AFTER INTRAPERITONEAL IMPLANT OF A POLYPROLENE PROSTHESIS | ||
| The Egyptian Journal of Surgery | ||
| Volume 19, Issue 1, January 2000, Pages 61-66 PDF (733.88 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2000.378706 | ||
| Authors | ||
| Ibrahim E. Dawoud* ; Ahmed M Seleim; Abd ElAzeim M Aly; Mohamed Y ElGindy | ||
| Department of General Surgery Faculty of Medicine Mansoura University | ||
| Abstract | ||
| Several methods for using a prosthetic material to repair incisional hernias have been described. One of the alternatives is the use of intraperitoneal placement of a polyprolene mesh. This study was done at Mansoura University Hospital, between January 1996 and January 1999, on 72 patients on whom pure intrapritoneal placement of polyprolene mesh was used. Pathologic studies of biopsies from patients who had undergone surgical reintervention were done using light microscopy, and scanning electron microscopy. The follow-up period for all patients was between 12 and 48 months. There was no periqperative mortality. Postoperatively, 2 patients required mechanical ventilation, 8 had seromas, 3 had hematomas, 1 had an abscess, and 1 had wound necrosis. There was one death due to irreversible shock. During follow-up ranging from 1 to 4 years, there were 2 hernia recurrences. Pure intraperitoneal placement of polyprolene mesh has several advantages over other techniques, including minimal dissection, and possibly, a decreased risk of infection. | ||
| Keywords | ||
| Incisional Hernia; Polyprolene Mesh; Intraperitoneal repair | ||
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