A Tension-free Technique for the Repair of Large Incisional Hernias during Abdominal Surgery: Results and Long-term Outcome

  • alberto vannelli Foundation IRCCS _Istituto Nazionale dei Tumori_ Milan, Division of General Surgery B
  • carlo corsi Department of Surgery, Division of Digestive and General Surgery San Paolo Hospital Milan
  • francesco fiore Department of Surgery, Division of Digestive and General Surgery San Paolo Hospital Milan
  • claudia del conte Department of Surgery, Division of Digestive and General Surgery San Paolo Hospital Milan
  • vladimir Valera Niigata University, First Department of Surgery, Division of Digestive and General Surgery
  • luigi battaglia Foundation IRCCS _Istituto Nazionale dei Tumori_ Milan, Division of General Surgery B
  • elia poiasina Foundation IRCCS _Istituto Nazionale dei Tumori_ Milan, Division of General Surgery B
Keywords: , large incisional hernia, Rives’ technique, abdominal operations

Abstract

Purpose. The optimal treatment for ventral hernias during abdominal surgery has yet to be defined. The objective of this study was to evaluate the outcome of a modified prosthetic technique for the treatment of large incisional hernias performed as a step following intra-abdominal surgery. Methods. Between January 1990 and December 2000, ninety-nine consecutive patients who underwent abdominal surgery for different causes received surgical repair for large incisional hernia with a modified mesh technique consisting of a tension free attachment of the prosthetic material to the posterior sheath of the rectus muscle. Surgical outcome was assessed mainly as recurrence rate for the abdominal hernia and postoperative complications. Results. Abdominal surgery varied from simple gynaecologic surgery up to advanced oncologic surgery. Eleven patients (11,11%) presented minor complications and 6 patients (6,06%) suffered major complications. There was one postoperative death and 3 patients (3,03%) presented recurrence of incisional hernia. Post operative hospital stay was 6,3 days (± 2,3 days). Conclusions. This study encourages the use of a tension-free, modified prosthetic technique for the repair of large incisional hernia during operation for abdominal pathology, which doesn’t lead to an increase in the incidence of complications, offering considerable advantage for the patient.
Published
2009-03-19
How to Cite
vannelli, alberto, corsi, carlo, fiore, francesco, del conte, claudia, Valera, vladimir, battaglia, luigi, & poiasina, elia. (2009). A Tension-free Technique for the Repair of Large Incisional Hernias during Abdominal Surgery: Results and Long-term Outcome. South African Journal of Surgery, 46(4), 112. https://doi.org/10.7196/sajs.25
Section
General Surgery