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